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Filing a Claim under COBRA
How do I submit a claim?
As with active coverage, you must complete and submit a claim form for benefits from the following plans:
  • Medical Plans
  • Dental Plan
  • Health Care Flexible Spending Account
  • Limited Purpose Health Care Flexible Spending Account
Complete the claim form and return it to the Claims Administrator as the form instructs.
Where do I get a claim form?
You can obtain a claim forms by accessing MMC PeopleLink, clicking on Forms under the left navigational bar and then going to, Dental/Medical/Flexible Spending Accounts. You can also obtain claim form from the Claims Administrators. For information on the claims process of another plan, refer to the specific plan.
How do I appeal a benefit determination or denied claim?
There are special rules, procedures and deadlines that apply to appeals of benefit determinations and denied claims, and you have special legal rights under ERISA. Refer to the specific plan for a description of the appeal process.
 
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