Cal-COBRA Continuation Coverage. Plan may only provide coverage for Benefits under Cal-COBRA to Members who reside or work within the Service Area. Subject to continuing eligibility as specified in Section 6.2 and 6.3.2 above, Cal-COBRA allows Members who are employed by employer groups with 2-19 Eligible Employees to extend their coverage, upon payment of the applicable monthly Premiums to Plan, if they would otherwise lose their coverage because: (1) the Member's coverage is through an Enrolled Employee who dies, or becomes entitled to Medicare benefits; (2) the Member is a Spouse whose coverage is through an Enrolled Employee from whom the Spouse divorces or legally separates; (3) the Member is an enrolled Child who ceases to qualify for employer-sponsored Benefits; or (4) the Member is an Enrolled Employee, or the Member's coverage is through an Enrolled Employee, whose employment terminates (other than for gross misconduct) or whose hours of employment are reduced rendering the Member ineligible for Benefits.
Appears in 4 contracts
Samples: Group Agreement, Group Agreement, Group Agreement
Cal-COBRA Continuation Coverage. Plan may only provide coverage for Benefits under Cal-COBRA to Members who reside or work within the Service Area. Subject to continuing eligibility as specified in Section 6.2 and 6.3.2 above, Cal-COBRA allows Members who are employed by employer groups with 2-2- 19 Eligible Employees to extend their coverage, upon payment of the applicable monthly Premiums to Plan, if they would otherwise lose their coverage because:
(1) the Member's coverage is through an Enrolled Employee who dies, or becomes entitled to Medicare benefits;
(2) the Member is a Spouse whose coverage is through an Enrolled Employee from whom the Spouse divorces or legally separates;
(3) the Member is an enrolled a Dependent Child who ceases to qualify for employer-employer sponsored Benefits; or
(4) the Member is an Enrolled Employee, or the Member's coverage is through an Enrolled Employee, whose employment terminates (other than for gross misconduct) or whose hours of employment are reduced rendering the Member ineligible for Benefits.
Appears in 1 contract
Samples: Group Subscriber Agreement
Cal-COBRA Continuation Coverage. Plan may only provide coverage for Benefits under Cal-COBRA to Members who reside or work within the Service Area. Subject to continuing eligibility as specified in Section 6.2 and 6.3.2 above, Cal-COBRA allows Members who are employed by employer groups with 2-19 Eligible Employees to extend their coverage, upon payment of the applicable monthly Premiums to Plan, if they would otherwise lose their coverage because:
(1) the Member's coverage is through an Enrolled Employee who dies, or becomes entitled to Medicare benefits;
(2) the Member is a Spouse whose coverage is through an Enrolled Employee from whom the Spouse divorces or legally separates;
(3) the Member is an enrolled Child who ceases to qualify for employer-sponsored Benefits; or
(4) the Member is an Enrolled Employee, or the Member's coverage is through an Enrolled Employee, whose employment terminates (other than for gross misconduct) or whose hours of employment are reduced rendering the Member ineligible for Benefits.
Appears in 1 contract
Samples: Group Agreement
Cal-COBRA Continuation Coverage. The Plan may only provide coverage for Benefits under Cal-Cal- COBRA to Members who reside or work within the Service Area. Subject to continuing eligibility as specified in Section 6.2 and 6.3.2 above, Cal-COBRA allows Members who are employed by employer groups Employer Groups with 2-19 Eligible Employees to extend their coverage, upon payment of the applicable monthly Premiums to the Plan, if they would otherwise lose their coverage because:
(1) the Member's coverage is through an Enrolled Employee who dies, or becomes entitled to Medicare benefits;
(2) the Member is a Spouse whose coverage is through an Enrolled Employee from whom the Spouse divorces or legally separates;
(3) the Member is an enrolled Child a Dependent child who ceases to qualify for employer-employer sponsored Benefits; or
(4) the Member is an Enrolled Employee, or the Member's coverage is through an Enrolled Employee, whose employment terminates (other than for gross misconduct) or whose hours of employment are reduced rendering the Member ineligible for Benefits.
Appears in 1 contract
Samples: Group Agreement