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Michigan County Road Commission Self-insurance Pool
(800) 842-4971
417 Seymour Ave., Suite 2, Lansing, MI 48933
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Media Category: Chapter 19: COBRA Compliance

Notice of Right to COBRA

Notice of Right to COBRA

Medical Continuation Coverage Election Form

Medical Continuation Coverage Election Form

Initial COBRA Notification

Initial COBRA Notification

Michigan County Road Commission Self-Insurance Pool

(800) 842-4971

417 Seymour Ave., Suite 2, Lansing, MI 48933

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