Step 1:
The COBRA Notice Generator has been designed to be easy to use, and to prompt you for the information needed to Generate COBRA Notices. If it needs a piece of data, it will tell you in the form of a red warning message at the top of the page, and any applicable form fields will have their labels changed to red as well.
IMPORTANT: The Notice Generator is session-based. That simply means that if you close the window during a session, you will lose your Pending Notices, and naturally, any form data you had not successfully submitted. If your working window is closed for some reason, simply open a new one and log back on, and Generate the notices again.
Now, on to creating notices!
Step 1:You, the employer, will need to provide a few details about your company, including group health plan information and rates (you will have the option to add the 2% administration fee), as well as contact information for the employee responsible for administering COBRA in your office. This is where you will create your personal username and password.
Step 2:Start adding employees and their dependents to the Notice Manager. Each employee’s records will appear in the table to the right of the Form Manager for easy access and notice generation! You may delete employee records or maintain them for future use.
If you have a large amount of data (employees) you would like to enter, we would be happy to import the date for you! Just contact us and we will email you sample files to create your employee, spouse and dependent data files.
Step 3:Generate a notice! Select "Generate" next to the employee's record in the Notice Manager for either the COBRA General Notice or the COBRA Election Notice. The Notice Generator will prompt you to enter specific details when generating an Election Notice if you did not enter that information when you originally added the employee or dependent. The generated notice will be added to your "Pending Notices" list, visible at the top right of your window.
Step 4:Check out and pay! The Notice Generator accepts VISA, Mastercard, and American Express. For alternative payment options please contact Mongoose LLC at 425-391-2627.
After submission, the selected notice will be promptly mailed the employee(s) or dependent(s) designated, complete with your companies header and contact information, as well as the correct health plan information. The Notice Generator will respond to you, the employer, with an email confirming that the notice was sent and to whom.
The Notice Manager will also maintain records regarding notices sent (when, where, and to whom), pending status (60-day Election Period), and Active Employees, for you to access at anytime.
Please maintain your username and password for future use!