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COBRA Administration

COBRA Administration Procedures – As West Suburban Health Group’s COBRA Plan Administrator, Gallagher Benefit Services (GBS) will handle every detail of COBRA, from sending election notices to qualifying beneficiaries to receiving monthly COBRA payments. The responsibilities of the West Suburban Health Group are few but extremely important!   Download Form here

COBRA Qualifying Event Notice – This form is to be filled out and sent to Gallagher Benefit Services (GBS) when an employee or dependent of an employee loses health, dental and/or vision coverage due to a COBRA qualifying event. This form does not need to be completed in the event of a leave of absence (medical or family), workers’ comp, or an employee voluntarily terminating his/her insurance.  Download Form here (this form can be saved and filled out electronically)

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