Authorization Number : 100-1332
Agency Series No. : BEN-01
Status : Active
Agency Web Link :
Agency : DAS
Confidential Description :
Division : DAS0400
Vital Description :
Section : DAS04000403
Record Title : COBRA_Consolidated Onmibus Budget Reconcilation Act
Revision : 0
Record Description : This series contains: Original COBRA records eligibility notification (ADM 4750) forms. These are given to employees qualifying for COBRA by their personnel officer. Original COBRA enrollment forms, filled out by people who are enrolled in COBRA. Original COBRA report summary. Letter output summary, report of all out going mail regarding the program.