COBRA Rate Information
Reports and Services For Employers
List of Active Employees and Dependents
List of COBRA Enrollees
Premium Remittance
Initial Notification list
Insurance Plan Enrollment
COBRA Participants Past Due
Qualifying Event Report
Qualifiers Files
Certificate of Mailings
Terminated COBRA Participants
Monthly email reminders
HIPAA Compliance
Others, as needed |
Notifications and Services to Employees
General Notices
Qualifying Event Letters
Prepare Payment Coupons
Short Payment letter
Late Payment letter
Expiration of Benefits
Certificate of Coverage
Conversion to Individual Insurance
Open Enrollment Notification
Rate Change letter
Termination letter
ARRA Notifications |
Also Available in Spanish: General Notice and Qualifying Event Notification
|
Fee Schedules:
| Initial Set-up Fee: |
|
| 20- 200 |
$300 |
| 201-400 |
$500 |
| 401-600 |
$700 |
| 601-800 |
$900 |
| 800+ |
$1000 |
|
Administration Fees
$10 per Qualifying Event Letter
PBS will keep the 2% fee Minimum fee of $35 per month
OR
$ 0.75 per Active Employee on eligible plan. Minimum billing of $35 per month
(If turnover rate is over 10% per month, each qualifying event letter will be an additional $10.) |
|
Annual Renewal fee is 50% of set up
Download Cobra Rate Information in PDF format
