COBRA Letter#

RBCM - COBRA Benefits Options Letter for Terminated Employees.

This report is not intended to serve employees who are still active. This report is intended for terminated employees only.

Report Parameters & Filters#

Report Parameters#

As of Date	Mandatory. This field defines the date as of which the COBRA letter is issued
Terminated From/To Date	Mandatory. Selecting a range of dates allows to print several letters at a time for employees terminated between these dates
Fee Statement	Optional. If 'Yes', Admin Fee notes will be added to the letter
Fee %	Optional. Enter amount when 'Yes' is entered in Fee Statement
Benefit Plan Type	Optional. This field defines what benefit plan types and rates to be included in the letter
Include Other Coverages	Optional. If 'Yes', premium amounts for all available coverages on selected plans to be included in the letter
Instructions for Continue	Optional. This field defines the instructions for continue (i.e. 'please call HR' or 'please go to Self Service')
Closing Paragraph	Optional. This field defines closing paragraph
Comp. Paragraph	Mandatory. This field defines com. paragraph
Sender	Mandatory. This field defines the name of the sender
Sender Title	Optional. This field defines the title of the sender
Sender Phone	Optional. This field defines the phone number of the sender
Sender Extension	Optional. This field defines the phone number extension of the sender

Report Filters#

Person	This field will limit the report to the people selected
People List	This field will limit the report to the people lists selected
Entity	This field will limit the report to the entity listed
Location	This field will limit the report to the locations selected
Department	This field will limit the report to the departments selected
Unit	This field will limit the report to the units selected
Group	This field will limit the report to the groups selected
Job	This field will limit the report to the jobs selected
Position	This field will limit the report to the positions selected

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Notes #

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