Next

 

Back

SUMMARY PLAN DESCRIPTION

NOTIFICATION REQUIREMENTS:

You Must Notify Us

If you are divorced or become covered under Medicare, or one of your
children ceases to qualify as a dependent under the Plan, you must notify the Plan
Administrator as soon as possible, but no later than 60 days after the event.

We Will Notify You

The Plan Administrator will notify you within fourteen (14) days of the date
you advise us of one of the above events or of the date your employer advises us of
your termination of employment for any reason (including death) or of your reduction in
hours.

ELECTION OF CONTINUATION COVERAGE:

You will have at least sixty (60) days in which to elect continuation
coverage. This election period will end on the later of (1) 60 days from the date you
would otherwise lose coverage (except for making a COBRA election) or (2) 60 days
from the date we mail you notice of your continuation coverage and provide you with an
election form.

NOTE: If you incur covered expenses during the election period before you have made
an election, your claims will not be processed until the Fund receives your election
forms and payment of your first premium.

TERMINATION OF COVERAGE:

Your continuation coverage will end when one of the following occurs:

  • The last day of the 18, 29 or 36 month period described above.

  • You fail to pay the premium for your continuation coverage when it is due.
    However, there is a thirty (30) day grace period before we will actually cut
    off coverage for failing to pay your premium.

  • The date after you elect COBRA on which you first become covered under
    another group health plan, unless the new plan contains a pre-existing
    condition exclusion or limitation which applies to any pre-existing condition
    suffered by you.

 

19