What are the COBRA appeals procedures?

Claims and appeals procedures for benefits shall apply in accordance with the Plan’s rules as described in the Plan’s summary plan description.  If a claim is denied, you will have the right to appeal.  Procedures for filing claims or filing an appeal are described in the summary plan description.

Summary of what you need to do if you receive this notice along with a COBRA Continuation Coverage Election Form:

  • Review this letter and all materials enclosed.
  • Complete and sign the attached “COBRA Continuation Coverage Election Form.” The “Continuation Coverage Election Notice (COBRA)” should include the qualifying event which caused the termination of your health coverage plan and other information specifically for you and other qualified beneficiaries under the Plan.

Return the COBRA Continuation Coverage Election Form to the Trust Fund Office by the date specified on the Election Form.