University of California Human Resources and Benefits - At Your Service

Employees
Retirees
Administrators

Home < Forms and Publications < COBRA

COBRA

2008 COBRA Mailing Addresses and Premium Information
COBRA Continuation Coverage General Notice
Notice to UC of a COBRA Qualifying Event, form UBEN 109
COBRA Continuation Open Enrollment and Change Form, form UBEN 108

These documents are saved in the Acrobat Reader format. To read and print them, download the reader from Adobe.

Can't find what you want?

Directories and Contacts
Forms and Publications
Search the website
Email Customer Service

University of California - Human Resources and Benefits
At Your Service | UCOP Home | Site Map | Terms of Use | Help

© Regents of the University of California