Terminating Your COBRA Coverage

If you wish to cancel your COBRA coverage, Rocky Mountain Reserve (RMR) requires a written request. This ensures that your coverage is ended intentionally and prevents accidental terminations.

How to Submit Your Request

Please send your written notice via email, fax, or mail. Your request must include the following details:

• Primary Account Holder: Full name.

• Identification: Last four digits of the primary's Social Security Number (SSN) or your Member ID.

• Employer Name: The name of the company that originally provided the benefits.

• Termination Date: The specific date you wish your coverage to end.

Important Policy Notes

• Monthly Billing: Most employers do not allow mid-month cancellations or provide prorated refunds. We recommend setting your termination date for the last day of the month for which you have already paid.

• Automatic Termination: Your coverage will end automatically if a premium payment is not received within the 30-day grace period.

• Insurance Notification: Once RMR receives your written request, we will notify your insurance carriers to finalize the termination.

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Submit Your Cancellation To:

Method	Contact Information
✉️ Email	[e-mail]
📠 Fax	866-478-9494
📬 Mail	Rocky Mountain Reserve, LLC PO Box 2440 Omaha, NE 68103

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Contact Participant Services:

💬 Live Chat: Available via the User Portal

✉️ Email: [e-mail] 

📞 Phone: [phone] 

🕒 Support Hours: M–F, 8 AM – 5 PM MST