Continuation of Health Coverage (COBRA)

The Consolidated Omnibus Budget Reconciliation Act (COBRA) gives workers and their families who lose their health benefits the right to choose to continue group health benefits provided by their group health plan for limited periods of time under certain circumstances such as voluntary or involuntary job loss, reduction in the hours worked, transition between jobs, death, divorce, and other life events.
Send COBRA letter confirmation, along with the below application and the first month’s payment to be enrolled.

Aetna Dental

Blue Shield

California Choice

Choice Builder

Delta Dental

KHEO (Employees)

KHEO (Physicians)

United Concordia Dental

United HealthCare

VSP Vision

Transamerica 401k Reminder

Completed paperwork: COBRA Continuation Election Form, COBRA Applications, and First months payment may be submitted via email or fax (310) 360-5100 .

Please be sure to include your contact information and we will call or email you within 24 hours to confirm receipt.
Questions? Email the Benefits Dept. at or call (800) 899-6624.