Cal-COBRA Notification Requirements. If Subscriber’s coverage and/or coverage for Subscriber’s Covered Dependents will terminate due to a reduction of Subscriber’s work hours or termination of Subscriber’s employment, the Subscriber’s employer must notify HMO within 30 days of the qualifying event. Notice will be sent by the employer to the HMO’s last known address. Subscriber and Covered Dependents will be disqualified from receiving Cal-COBRA benefits if Subscriber’s employer does not provide HMO with notification as required by law and summarized in the Group Agreement. If a Covered Dependent becomes eligible for continuation coverage for any reason other than the Subscriber’s loss of coverage due to termination of employment or reduction in hours, the Covered Dependent must notify HMO in writing of the qualifying event, within 60 days of the qualifying event. Notification should be sent to: Aetna Health of California Inc. Plan Sponsor Services CalCOBRA 0000 Xxxx Xxxx Xxxxxx Fresno, CA 93710. The request must be sent via first-class mail or other reliable means of delivery. Other reliable means of delivery may include personal delivery, express mail or private courier company. If Covered Dependent(s) do not notify HMO within sixty (60) days of the qualifying event(s), If a Covered Dependent is a qualified beneficiary due to a qualifying event under C.1.a. and subsequently experiences an additional qualifying event as listed in C.1.b., the Covered Dependent must provide written notification of the additional qualifying event as described above in order to remain eligible for coverage under Cal-COBRA. If the Subscriber who is eligible for continuation coverage as described at C.1.a, is determined to have become disabled under Title II or Title XVI of the Social Security Act at any time during the first 60 days of continuation coverage, the HMO must be notified within 60 days of the date of the Social Security determination letter and prior to the end of the continuation coverage period in order for the Subscriber to continue to be eligible for Cal-COBRA continuation coverage. If Subscriber is eligible for extended continuation coverage as a result of a determination of disability, Subscriber must notify the HMO within thirty (30) days of a determination that the Subscriber is no longer disabled.
