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Sample COBRA Termination Letter

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Here is a sample letter addressed to an employee notifying the termination of COBRA Benefits.

Lex Hunter

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 15th October 2016.

You have resigned from our organisation last month on 1st 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.


Lex Hunter.

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