TITUS-LEAVITT INSURANCE

Toll Free: 800-627-1555

Chico: 530-895-1555
Bonds/Surety Employee/Group Benefits Insurance Glossary Value Added Services

Cobra Administration

Titus-Leavitt / GBS can assist you by generating and distributing:
  • Initial COBRA Notice
  • Qualifying Event Notification
  • Notice of Eligibility to Spouse
  • Family Enrollment Form
  • Premium Computation Form
  • Waiver of Coverage Letter
  • COBRA Termination Notices
  • Notice of Unavailability
  • Early Termination Notice
  • Payment Coupons
  • Secondary Qualifying Event Letter
  • Open Enrollment Notification
  • Social Security Disability Extension Notice

Titus Leavitt  / GBS will collect all COBRA payments and issue the following reports:
  • Employer / Carrier Invoice
  • Enrollment Notice to Carrier
  • Monthly Qualified Beneficiary Status and Monthly Premium Submission and Statements