Sample COBRA Termination Letter

HR Manager

Optimum Solutions

5 Kinet S

Brooklyn, NY 21203

30 September 2016

Phone: 303 420 4240

Email: lexhn010@gmail.com

Subject: Termination of COBRA Services

Maxy Johnson

7 High Street

Brooklyn, NY 15204

Dear Mr. Johnson,

I am writing this letter to inform you that the current benefits that you are enjoying under the provisions of the Collective Omnibus Reconciliation Act is due to expire on 15^th October 2016.

You have resigned from our organisation last month on 1^st September 2015. As per the contract that you had signed the COBRA benefits allotted you will expire on the date mentioned above.

If you have any queries, please feel free to call me.

Regards,

Lex Hunter.