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CCPOA BENEFIT TRUST FUND DENTAL, VISION, AND PIGGYBACK BENEFITS

INFORMATION ABOUT NEW COBRA RIGHTS UNDER THE AMERICAN RECOVERY AND REINVESTMENT ACT OF 2009 (ARRA)

If you were involuntarily terminated from employment as a State of California Unit 6 bargaining unit member on or after September 1, 2008 through December 31, 2009, and you and your family lost Dental, Vision, and/or Piggyback coverage that you were receiving through the CCPOA Benefit Trust Fund (the “Trust”), then you and your family may be eligible for a 65% reduction of your COBRA premiums for up to 9 months from March 1, 2009. 

In addition, if you were involuntarily terminated from employment on or after September 1, 2008 through February 16, 2009, and (1) you lost Dental, Vision, and/or Piggyback coverage that you were receiving through the Trust, and (2) you failed to elect COBRA coverage, or you elected COBRA coverage but allowed it to terminate (e.g., you failed to timely pay premiums)-- then you and your family members may have an additional opportunity to elect COBRA coverage now, and to take advantage of the COBRA premium reduction.If you are an active member of CCPOA and have lost Piggyback coverage you may also be eligible to receive the COBRA premium reduction and to elect COBRA coverage, as described above, for Piggyback coverage.If you are eligible as described above and would like to receive the COBRA premium reduction, you will need to take the following actions:

  • If you are not currently on COBRA, complete and return a copy of (1) the COBRA Continuation Coverage Election Form, and (2) the Application to Receive the COBRA Premium Reduction.
  • If you are currently on COBRA, simply complete and return a copy of the Application to Receive the COBRA Premium Reduction.

Please click on the link below for more detailed information regarding the COBRA premium reduction. 

You must request the forms necessary to enroll in COBRA under ARRA and request the COBRA premium reduction from the Trust, as described below.To request hard a hard copy of the COBRA Premium Reduction Notice, and the COBRA Continuation Coverage Election Form, and/or the Application to Receive the COBRA Premium Reduction, please contact the Trust office at the address listed below, or call Amy Livingstone at 1-800-468-6486.

Trust Office
CCPOA Benefit Trust Fund
2515 Venture Oaks Way, Suite 200
Sacramento, CA 95833-4235


COBRA Related Forms & Information

2009 COBRA Subsidy Notice

Participant Additional Insurance Notification Form Request for Reduced COBRA Rate Form Request to Continue COBRA Coverage Form

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