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COBRA Contacts (where to send premiums)
Health Net (HMO) COBRA
COBRA Group Number: 55509E
COBRA Customer Service Phone: 1-800-522-0088
Send Premium to:
Health Net
P.O. BOX 9103
Van Nuys, CA 91409-9103
Blue Cross (PPO) and Delta Dental COBRA
Blue Cross COBRA Group Number: 175138M005
Delta Dental COBRA Group Number: 0510-0004
COBRA Customer Service Phone: 1-866-800-2272
Send Premium to:
Unicare COBRA
PO Box 226777
Dallas, TX 75222-6777
Please note the enrollment form should be faxed to 1-800-482-4164 or emailed to
VSP COBRA
COBRA Group Number: 12170630-0002
COBRA Customer Service Phone: 1-800-877-7195
Sent Premium to:
Vision Service Plan
Atten: COBRA
P.O. BOX 997100
Sacramento, CA 95899-7100