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DISCLAIMER

I understand that I need to give my approval to see information about options other than COBRA for health insurance, and by checking this box I authorize eBenX to re-direct me to another website that will provide this information.

I understand that:

- the health insurance options I will see are independent and are not related to the option I have been provided for COBRA health insurance and are not related to my previous employer's health insurance. As such, the laws relating to COBRA coverage do not apply to the insurance options I will see from eHealthInsurance Services, Inc.

- by reviewing information from eHealthInsurance Services, Inc., I am under no obligation to buy any product or service.

- the premiums for individual health insurance are set by law, and the premiums I will see displayed on the eHealthInsurance Services, Inc. site are the same that I would see at any other health insurance website or from any other health insurance agent or broker based on the same information.

- eHealthInsurance Services, Inc. and eBenX do not receive compensation from any health plan carrier for preferential presentation or display of their health plans; all health plans are presented objectively, based on information I provide.

- eBenX may receive compensation from eHealthInsurance Services, Inc.


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If you are eligible for COBRA continuation coverage, you should receive Notification from your COBRA plan administrator. Notification of your COBRA benefits is the responsibility of the plan administrator. What are your COBRA enrollment options?

I WANT A QUOTE FOR AN INDIVIDUAL POLICY

You have 60 days from your Notification date to accept coverage and 45 days to make the first payment. If you do not receive this notice and believe that you qualify for COBRA coverage, contact the Human Resource Department at your former employer.

  • If SHPS is your plan administrator and you received a USER NAME and PASSWORD (view document) with your Notification information, click here to enroll online or complete the enrollment form included in your Qualifying Event Notification and return it to the address listed on your Notification
  • If SHPS is your plan administrator and you DID NOT receive a USER NAME and PASSWORD with your Notification, complete the enrollment form included in your Qualifying Event Notification and return it to the address listed on your Notification
  • For other plan administrators, follow the enrollment instructions included with your Notification