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If you have experienced a qualifying event (see above), you may be eligible to
receive COBRA benefits through your employer. Combined Services LLC works with contracted employers to administer COBRA benefits.
If you have been directed to this website, you can request information about your available COBRA benefits using this website.

Notification

Notification of your Right to Elect COBRA Continuation Coverage, will be forwarded to you via certified mail within 15 days of our
receipt of your Qualifying Event submitted by your employer. However, if you complete the COBRA Request for Information form,
we can forward your Notification via e-mail, fax or first class mail if you would prefer.

The Notice of Right to Elect COBRA Continuation Coverage outlines your rights, coverage options and costs. Included within the
notification, is an election agreement to accept or deny coverage. You have up to 60 days to elect COBRA Continuation Coverage
from the notification date. Your specific date information will be indicated within your notification letter.

Election of Coverage

Once you have elected COBRA Continuation Coverage, you will be assigned a Combined Services LLC COBRA Administrative Analyst.
Your analyst will be available to answer your billing and enrollment questions, Monday through Friday from 8:00 a.m. to 4:30 p.m. (EST). He/she
can be contacted by phone at 1 888 227-9745 ext. 2020, by fax at 1 603 224-4256 or e-mail COBRA Administration.

If you have questions regarding your benefits and/or claims, please contact your insurance carrier.

Billing

COBRA Continuation Coverage bills are mailed out on the first business day of the month for the next month. For example, a bill for the
month of September will be mailed out on the first business day of August. A return envelope is provided for your convenience.
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