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Does the employer need to provide their employee with a Group Heatlh Insurance Application (ET-2301) along with the Continuation – Conversion Notice (ET-2311)?

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Does the employer need to provide their employee with a Group Heatlh Insurance Application (ET-2301) along with the Continuation – Conversion Notice (ET-2311)?

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That depends on the circumstances. An employee going on COBRA does not need to receive a Group Heatlh Insurance Application with the COBRA application unless the employee is changing from family to single coverage (for example, their only dependent no longer meets the definition of dependent) or if the employee is changing health plans due to a move from the service area. On the other hand, any dependents who receive a Continuation – Conversion Notice must also receive a Group Heatlh Insurance Application.

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