COBRA

Under the Public Health Service Act, as amended, covered Employees and their covered Dependents may have the right to continue coverage beyond the time coverage would otherwise terminate due to a qualifying event.  Only covered Employees, their covered Spouses and/or covered Dependent Children and the covered Spouses and/or covered Dependent Children of covered Retirees are qualified beneficiaries.  COBRA continuation coverage under this provision will begin on the first day immediately following the date the coverage terminates.

The Plan Administrator is the Office of the Commissioner of Higher Education, 560 N. Park Ave., 4th Floor, Helena, MT 59601, 1-877-501-1722.

COBRA continuation coverage for the Medical Plans is administered by the Plan Claims Administrators for those plans (Allegiance, BlueCross BlueShield of Montana, or PacificSource).

COBRA continuation coverage for the Dental Plan and the Vision Hardware Plan is administered by Allegiance.  BlueCross BlueShield continues to process vision hardware claims.  Delta Dental continues to process dental claims.

Submit completed COBRA form to: 
Allegiance COBRA Services, Inc.
P.O. Box 2097
Missoula, MT  59806

Click here for more information

Cobra Enrollment Form

 

 

 

 

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Montana University System • Office of the Commissioner of Higher Education
560 N. Park Avenue • PO Box 203201 • Helena, MT 59620-3201 • 406-449-9157

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