COBRA Continuation Coverage under My Parent’s Group Health Plan

Please choose the statement that best describes your situation:

• You were covered by the group health plan sponsored by your parent’s employer, employee organization (such as a union), or both on the day before you lost dependent child status in accordance with the plan rules.
• You were not covered by the group health plan sponsored by your parent’s employer, employee organization (such as a union), or both on the day before you lost dependent child status in accordance with the plan rules.