New Jersey Continuation Coverage Rules Form

Entity Mandating Form: State of New Jersey, Department of Banking and Insurance.

Applicability: Employers with 2-50 eligible employees that purchase New Jersey health benefits plans to cover its employees, unless subject to the federal version of COBRA, which covers group health plans maintained by employers with 20 or more employees from the prior year.

Obtaining this Form: Employers may download the guidance document directly from the State of New Jersey, Department of Banking and Insurance.

Distribution Specifications: Provide guidance information to employees "upon termination."

Additional Resources:

Employee Benefits > Health Care Continuation (COBRA) > New Jersey