Employers:

New York State COBRA coverage is available for up to 36 months for COBRA-eligible individuals who lose their employer-sponsored medical insurance coverage.

Did you know that COBRA information must be given to ALL employees who lose coverage? (See summary for exceptions.)

• Summary of COBRA

• Medical COBRA Election Form (NY) that employees can complete to elect or refuse COBRA and to acknowledge that they have received the information from you regarding COBRA for medical coverage

• Dental or Vision COBRA Election Form (Federal).docx

• Link to NY State Department of Financial Services COBRA information