Model COBRA Notice

Updated COBRA Election Notice

Recognizing that the Marketplace will provide an-other option to COBRA qualified beneficiaries to obtain
group health coverage, the Technical Release also provides an updated COBRA Continuation Coverage
Election Notice that includes revisions reflecting these choices, and the availability of subsidies in the
Marketplace for eligible individuals. The updated COBRA Continuation Coverage Election Notice also
reflects changes mandated by the ACA’s prohibition on preexisting condition exclusions and eliminates
the prior model language relating to the Health Coverage Tax Credit, which will expire as of January 1, 2014.

To access the Technical Release and notices go to:

DOL Techinical Release No. 2013-02

Additional information for employers regarding the Affordable Care Act is available at www.healthcare.gov and www.dol.gov/ebsa/healthreform.

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