Notice of Unavailability of Coverage

Description:

The Notice of Unavailability of Coverage is to notify a person that coverage will be unavailable to them because they no longer match any of COBRA's qualifying events.

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Form Specifications:

Dimensions	Designed for Letter Size (8.5" x 11")
Printer compatibility	Designed to print on all ink-jet and laser printers
Editable	MS Word 97 or later
Format
Platforms
Usage	Unlimited number of prints
Download time	Less than 1 minute (approx.)

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HR 360 and the HR 360 logo are trademarks or service marks and are the property of their respective owners and should be treated as such. Program terms and conditions, pricing, features and service options are subject to change without notice.

HR 360, Inc., 400 Main Street, 4th Floor, Stamford, CT 06901 | 800-552-8211