# WEX COBRA Form: How to Fill Out, Sign and Send It

> WEX says you can elect COBRA through an online account or its COBRA mobile app, so start there if your notice gives you login details. This page is for the case where your notice came with a PDF election form instead.

Page: https://pdfinish.com/cobra-forms/wex
Last updated: October 27, 2026

## Online option

WEX describes an online account and a COBRA mobile app as the ways to get to your COBRA plan. Use the login and instructions in your notice first.

## What WEX says

- WEX's participant page offers a COBRA and direct bill login, with the line that you can access support and resources about your COBRA and direct bill account. ([source](https://customer.wexinc.com/participants-employees/))
- It says you can reach COBRA through an online account, and that its COBRA mobile app lets you register, make an initial election, submit a one-time online payment and set up recurring payments. ([source](https://customer.wexinc.com/participants-employees/))
- The page has a COBRA and direct bill support area with links named Access COBRA forms, Chat about COBRA and Email COBRA support. ([source](https://customer.wexinc.com/participants-employees/))

## If your paperwork is a PDF

We did not open the COBRA forms area, so we cannot say which forms it holds. The WEX page we read does not describe a paper or PDF election form or how to send one back, so rely on the instructions in your own notice.

Use these steps only if your WEX notice came with a PDF election form and does not point you to the online account or app.

## Steps

1. **Check your notice first.** Look for login details or an app registration step. If you have them, WEX describes that route as available.
2. **Open the PDF form.** If you have a PDF election form, drop it onto Fill and Sign PDF and type on the lines it asks for.
3. **Sign and date.** Add your signature and the date, then look over the page for any line you left empty.
4. **Download and return it.** Download the signed file and send it the way your notice says. If the notice names no route, ask WEX or your plan before you guess.

## What to keep

- The WEX notice or email that came with your form.
- The signed PDF with a clear file name.
- A screenshot or receipt that shows when and how you sent it.

## Common questions

### Can I elect COBRA with WEX on my phone?

WEX says its COBRA mobile app lets you register and make an initial election, and it also lists payments in the app. Your notice tells you whether that route applies to you.

### Where are the WEX COBRA forms?

WEX's participant page has a COBRA support area with a link named Access COBRA forms. We did not open it, so use the form your notice names.

### Is Chard Snyder part of WEX?

Chard Snyder describes itself as a WEX company. We have a separate page on what Chard Snyder says about electing.

### Does WEX say how to send back a paper election form?

The WEX page we read does not. Follow your notice, and keep a record of when you sent the form.

## Sources

- [WEX, Benefits resources for participants and employees](https://customer.wexinc.com/participants-employees/)

PDFinish is not affiliated with WEX. We describe what WEX says on its own public pages, and we do not host or change its forms. General information, not legal, tax or insurance advice.