Wisconsin COBRA Continuation Coverage and Other Health Coverage Alternatives Notice

Form/Letter
Benefits
Termination

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Employees. If you are or were an employee of the Company who is covered by one of the following plan(s) {Health Plan Name(s)} (each referred to as the “Insured Plan”), you may have a separate and/or additional right under Wisconsin law to elect continuation or conversion coverage for yourself (and your spouse and dependents to the extent that they would also lose coverage), directly from {insert insurance carrier}. You will be entitled to this coverage only if you have lost or you are going to lose your group health coverage for any reason other than a discharge from employment due to your misconduct in the course of employment.

COBRA