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COBRA

COBRA DOL Alternative Notice Rev 2009-12-23

COBRA DOL General Notice Updated Full Version  2009-12-23

COBRA DOL Premium Assistance Extension Notice 2009-12-23

2010 Renewal Forms

2010 IBC Small Business Product brochure

TAI Product Confirmation Form

TAI Benefit Election Form

Mandatory CHIP Notice to Employees

CHIP Benefits Bulletin

PA Dependent Coverage to Age 30 - Information & Blue Cross Enrollment Materials

Mini-COBRA Overview

Mini-COBRA Employee Model Notice

Word Document

PDF

Small Group Rate & Benefit Matrix

Medicare Resource Guide 2009

*New* IBC Flex Benefit Descriptions

2009 IBC Small Business Product Portfolio

IBC Flex Benefit Grid (29.6KB)

IBC High Deductible Benefit Grid (24.9 KB)

IBC Universal Enrollment Form (587KB)

IBC New Small Employer Health Benefits Application (46KB)

IBC Small Employer Certification (23KB)

Aetna Advantage Enrollment Form (453KB)

Click here to access the HIPPA Authorization Form (.14MB)

United Concordia Dependent Certification Form (685KB)

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