COBRA COMPLIANCE CHECKLIST

Technical and Miscellaneous Revenue Act requires that
employers have:

• Proof of COBRA Training
• Written COBRA procedures (manual with instructions)
• Documentation of program design and program updates
• Documentation of program monitoring

Required Notifications Include:

• Initial Notification (overall mailing required in 1986-87).
  Re-mailing required in 1990
• Initial Notification (to all new insurance enrollees)
• Qualifying Event Notification (include expiration notice)
• Stacked Event Notification
• Disability Extension Notification
• Conversion Notification
• Premium Billing Notifications (optional)
• Forms to document status changes
• Insignificant Underpayment Notice
• Open Enrollment Notice
• Documentation of updates within notices and mailing
  procedures to meet current requirements.

  Employers are responsible for tracking

• Each notice (recipient, date & content)
• COBRA periods
• Documentation of notification language updates
  (1986-present)
• Documentation of procedural updates (1986-present)
• Documentation showing consistency in procedures