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Medical Care/Dependent Care Reimbursements
Health Information Release Form
Sample Dependent Care Receipt
Letter of Medical Necessity
Transit & Parking Requests
Flex Benefits Card Receipt Coversheet
Ortho Treatment Statement
ARRA Required Notice When Eligible for Other Health Coverage
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flex@goigoe.com
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COBRA Triggering Events
Triggering Events Listed in the Statute
Death of the covered employee
Voluntary or involuntary termination of the covered employee's employment (other than by reason of gross misconduct), or reduction of hours of the covered employee's employment
Divorce or legal separation of the covered employee from the employee's spouse
Covered employee becomes entitled to benefits under Medicare
Dependent child ceasing to be a dependent child under the generally applicable requirements of the plan
An employer's bankruptcy (but only with respect to health coverage for retirees and their families)
Igoe Administrative Services 2007
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