Consolidated Omnibus Budget Reconciliation Act (COBRA)
This notice is intended to give you a summary of your rights and obligations with respect to COBRA continuation coverage under Seminole State College's health plan. You (and your spouse, if you have family coverage) should take the time to read this notice carefully.
The Right to Elect COBRA Continuation Coverage
The occurrence of certain qualifying events make you (and your covered dependents, if you have family coverage) qualified beneficiaries who have the right to elect COBRA continuation coverage. Qualifying events are described below.
| Employee | You have the right to elect COBRA continuation coverage if you lose your group health coverage under the plan due to:
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| Spouse | You have the right to elect COBRA continuation coverage if you lose group health coverage under the plan due to:
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| Child | If you have a dependent covered under the plan, the child has the right to elect COBRA continuation coverage if he or she loses group health coverage under the plan due to:
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Important Reminder
You or a family member are responsible for informing the plan administrator of a divorce, legal separation or child's loss of dependent status under the plan within 30 days of the qualifying event. Once notification of a qualifying event is received, the plan administrator will notify the qualified beneficiaries of their right to elect COBRA continuation coverage.