Premium Subsidy Compliance Download Center
Last Updated: January 15, 2010
To download each of the forms, right click and select "Save As." You will need Adobe Acrobat to view several of the documents. If you need to download Acrobat Reader, you can click on the button at the bottom of the page.
- COBRA Explanation Package - (READ THIS FIRST!)
- IRS Resource Page
- DOL Frequently Asked Questions
- ODI Website
- List of Government Website
Note: There is no Exhibit D at this time
Templates - Model Premium Assistance Extension Notice - Exhbit A
- Updated General Notice - Full Version (Template) - Exhibit B
- Alternative Notice - Ohio - Exhibit C
- Subsidy Waiver Form (Template) - Exhibit E
