COBRA
Open Enrollment Notification 2010

The annual State of Kansas COBRA open enrollment period is your opportunity to make changes to your health care coverage such as changing medical carriers and adding or dropping dependents from coverage. There are plan design changes for Plan Year 2010. COBRA rates are also rising effective January 1, 2010. Please use the enclosed form to make changes to your current coverage and return it to COBRAGuard by December 5, 2009 or within 15 days of your original COBRA election, whichever is later.

It is very important that the premium payments for your current COBRA coverage are paid through the end 2009 or you will not be eligible for COBRA continuation coverage in the upcoming plan year. Premium payments must be made even if you do not receive a monthly invoice. All premium payments are due on the first day of each month and must be postmarked by the end of the 30 day grace period allowed from the due date.

The rates provided on this Open Enrollment election form reflect the standard COBRA rates for all participants. If there are special circumstances that apply to your COBRA continuation coverage, such as extended benefits due to disability, please contact COBRAGuard at 866-952-6272 for the 2010 rates.

DEADLINE: Open Enrollment elections must be returned to COBRAGuard by December 5, 2009 or within 15 days of your original COBRA election, whichever is later.

REMINDER: A member selecting ANY level of medical coverage must select member only dental. A member selecting any level of dependent medical coverage MAY select the same dental coverage level. Dental coverage may not be selected without medical coverage.

COBRAGuard(COBRA Administrator)
www.cobraguard.net
Customer Service All Areas (Toll Free):866-952-6272
Fax: 913-438-8385
Participant Website: www.mycobra.info
COBRA Guard Contact Information: www.cobraguard.net/contact
COBRA FAQ: www.cobraguard.net/help