COBRA & Infinisource
pg. 73 of Plan Document

COBRA
The Consolidated Omnibus Budget Reconciliation Act of 1985.

If a qualified beneficiary loses coverage under the Navajo Nation Employee Benefit Plan due to a qualifying event, he/she may elect to continue coverage under the Plan in accordance with the COBRA requirements upon timely election and payment of monthly contribuations as specified. A qualified beneficiary must elect coverage within the sixty (60) day period beginning on the later of the date of the qualifying event, or the date he/she was notified of the right to continue coverage.

COBRA is the continuation of benefits that applies to medical, prescription drug, dental and vision coverage only. This section does not apply to coverage for loss of life, or for loss of income due to disability (short-term disability benefits).

COBRA montly rates are:
Single - $242.20
Family - $613.53

COBRA election notice and election form will be sent by US mail directly to the qualifying individual(s) upon notification of loss of eligibility under the Plan. The information will be mailed to the last known address on file with the benefit plan.

For length of coverage and additional information, please refer to your Plan document or you may call Customer Service at (800)594-6957.

Infinisource
Please send all COBRA payments to Infinisource at:
PO BOX 949
Coldwater, MI.
49036

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