Law and Regulations

for Separation & Divorce

COBRA Model Notices

  • Model general notice

    This notice is similar to what you would receive when you first become covered by a health plan. It explains COBRA coverage, when it may become available to you, and what you need to do to protect your right to get it.

  • Model election notice

    This notice is similar to what you would receive if you experienced a qualifying life event that causes your health coverage to end, such as a divorce or legal separation. It explains how to elect COBRA and what other options are available.