Forms Used to Work with COBRA Payments

Form Name

Form ID

Navigation

Usage

COBRA Payment Revisions

W08994B

Daily Processing (G05BCOB2), Payments

On the Work With COBRA Received Payments form, click Add.

Enter COBRA payments.

Work With COBRA Received Payments

W08994A

On the Work With COBRA Received Payments form, complete the COBRA Participant field and then click Find.

Select a record and select Void Check from the Row menu.

On Void Confirmation, click OK.

If the payment amount is different from the due amount, click OK on Payment Amount.

Void a COBRA payment check.

Work With COBRA Received Payments

W08994A

On Work With COBRA Received Payments, complete the COBRA Participant field and then click Find.

Select a record and click Delete.

On Confirm Delete, click OK.

Delete a COBRA payment check.