COBRA Forms

• COBRA Administrative Proposal
• Employer Sign Up Form
  • Printable Version
• COBRA Companion System
• COBRA Qualifying Event Notice Online Version
• COBRA Qualifying Event Notice
• Special COBRA Enrollment Rights Notice/Waiver
• COBRA Member Information
• More Information 

Telephone: 1-888-343-0133 (toll free)

Fax: 802-244-2020

Email: choicecobra@choice-strategies.com

Address: 3649 Post Road, Warwick, RI 02886