Maricopa Community Colleges

COBRA Rates

COBRA is administered by Zenith American Solutions. For questions related to COBRA please contact Zenith American Solutions at:
Phone: 1-800-757-0071 (Toll free)
Fax: 206-352-9714
Email: COBRA@ZENITH-AMERICAN.COM

FY2012-2013 Cobra Rates
FY2013-2014 Cobra Rates

Forms
--List of all forms-- ASRS Beneficicary Beneficiary Change of Status Enrollment Form Coordination of Benefits Dependent Tuition Waiver Eligibility Dependent Verification Domestic Partner Termination Domestic Partnership Affidavit Educational Reimbursement Request Express Scripts Mail Order Express Scripts Prescription Claim MCCCD Eligibility Declaration Medical Claim Medical Waiver FY12-13 VSP Out of Network Claim form
Contacts

Benefits

480.731.8415 • email

Webmaster

• email