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COBRA Subsidy Mailings
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Updated 5/15/2009

Extended Elections Period Notice (Group 1) – This first notice is to members whose PEBB coverage ended between September 2008 and February 2009, and who were enrolled in medical and dental coverage at termination and did not elect continuation of coverage or elected continuation of coverage and ended coverage by February 28, 2009. This mailing does not include employees rehired into an insurance eligible position as of February 28, 2009. Mailed April 17, 2009

Correction Mailing for Extended Elections Period Notice (Group 1A) – This follow-up notice is for members of the Group 1 mailing, to notify them that the COBRA subsidy can be applied toward dental-only coverage. Mailed May 15, 2009

Please do not distribute these letters to employees.

Abbreviated General Notice (Group 2) – This second notice is to members whose PEBB coverage ended between September 2008 and February 2009, were enrolled in PEBB employer-sponsored coverage at termination, and either elected COBRA, Leave Without Pay, or non-Medicare retiree coverage. This mailing excludes Medicare subscribers who do not have dependents. Mailed May 18, 2009

Please do not distribute these letters to employees.

Transitional General Notice (Group 3) - This third notice is to members whose coverage ended between March 31, 2009 and May 31, 2009, were enrolled in PEBB employer-sponsored coverage at termination, received the Continuation of Coverage Election Notice booklet (50-801), and have either elected or not elected continuation of coverage (still in 60-day election period). (June 3)

Please do not distribute these letters to employees.