Changes Due to a Life Event. After the initial enrollment period and outside of any open enrollment period, an employee may elect to change health or dental coverage (including adding or canceling coverage) and any applicable employee contributions in the following situations (as long as allowed under the applicable provisions, regulations, and rules of the federal and state law in effect at the beginning of the plan year). The request to change coverage must be consistent with a change in status that qualifies as a life event, and does not include changing health or dental plans, which may only be done under the terms of Section 5A above. Any election to add coverage must be made within thirty (30) days following the event, and any election to cancel coverage must be made within sixty (60) days following the event. (An employee and a retired employee may add dependent health or dental coverage following the birth of a child or dependent grandchild, or following the adoption of a child, without regard to the thirty (30) day limit.) These life events (for both employees and retirees) are: a. A change in legal marital status, including marriage, death of a spouse, divorce, legal separation and annulment. b. A change in number of dependents, including birth, death, adoption, and placement for adoption. c. A change in employment status of the employee, or the employee’s or retiree’s spouse or dependent, including termination or commencement of employment, a strike or lockout, a commencement of or return from an unpaid leave of absence, a change in worksite, and a change in working conditions (including changing between part-time and full-time or hourly and salary) of the employee, the employee’s or retiree’s spouse or dependent which results in a change in the benefits they receive under a cafeteria plan or a health or dental plan. d. A dependent ceasing to satisfy eligibility requirements for coverage due to attainment of age or otherwise no longer meets the eligibility requirements under Section 2C. e. A change in the place of residence of the employee, retiree or their spouse or dependent that is not in the health plan service administrator’s service area. f. Significant cost or coverage changes (including coverage curtailment and the addition of a benefit package). g. Family Medical Leave Act (FMLA) leave. h. Judgments, decrees or orders. i. A change in coverage of a spouse or dependent under another Employer’s plan. j. Open enrollment under the plan of another Employer. k. Health Insurance Portability and Accountability Act (HIPAA) special enrollment rights for new dependents and in the case of loss of other insurance coverage. l. A COBRA-qualifying event. m. Loss of coverage under the group health plan of a governmental or educational institution (a State’s children’s health insurance program, medical care program of an Indian tribal government, State health benefits risk pool, or foreign government group health plan). n. Entitlement to Medicare or Medicaid. o. Any other situations in which the group health or dental plan is required by the applicable federal or state law to allow a change in coverage.
Appears in 27 contracts
Samples: General Professional Labor Agreement, Collective Bargaining Agreement, General Professional Labor Agreement
Changes Due to a Life Event. After the initial enrollment period and outside of any open enrollment period, an employee may elect to change health or dental coverage (including adding or canceling coverage) and any applicable employee contributions in the following situations (as long as allowed under the applicable provisions, regulations, and rules of the federal and state law in effect at the beginning of the plan year). The request to change coverage must be consistent with a change in status that qualifies as a life event, and does not include changing health or dental plans, which may only be done under the terms of Section 5A above. Any election to add coverage must be made within thirty (30) days following the event, and any election to cancel coverage must be made within sixty (60) days following the event. (An employee and a retired employee may add dependent health or dental coverage following the birth of a child or dependent grandchild, or following the adoption of a child, without regard to the thirty (30) day limit.) These life events (for both employees and retirees) are:
a. A change in legal marital status, including marriage, death of a spouse, divorce, legal separation and annulment.
b. A change in number of dependents, including birth, death, adoption, and placement for adoption.
c. A change in employment status of the employee, or the employee’s or retiree’s spouse or dependent, including termination or commencement of employment, a strike or lockout, a commencement of or return from an unpaid leave of absence, a change in worksite, and a change in working conditions (including changing between part-time and full-time or hourly and salary) of the employee, the employee’s or retiree’s spouse or dependent which results in a change in the benefits they receive under a cafeteria plan or a health or dental plan.
d. A dependent ceasing to satisfy eligibility requirements for coverage due to attainment of age or otherwise no longer meets the eligibility requirements under Section 2C.
e. A change in the place of residence of the employee, retiree or their spouse or dependent that is not in the health plan service administrator’s service areadependent.
f. Significant cost or coverage changes (including coverage curtailment and the addition of a benefit package).
g. Family Medical Leave Act (FMLA) leave.
h. Judgments, decrees or orders.
i. A change in coverage of a spouse or dependent under another Employer’s plan.
j. Open enrollment under the plan of another Employer.
k. Health Insurance Portability and Accountability Act (HIPAA) special enrollment rights for new dependents and in the case of loss of other insurance coverage.
l. A COBRA-qualifying event.
m. Loss of coverage under the group health plan of a governmental or educational institution (a State’s children’s health insurance program, medical care program of an Indian tribal government, State health benefits risk pool, or foreign government group health plan).
n. Entitlement to Medicare or Medicaid.
o. Any other situations in which the group health or dental plan is required by the applicable federal or state law to allow a change in coverage.
Appears in 27 contracts
Samples: Collective Bargaining Agreement, Collective Bargaining Agreement, General Professional Labor Agreement
Changes Due to a Life Event. After the initial enrollment period and outside of any open enrollment period, an employee may elect to change health or dental coverage (including adding or canceling coverage) and any applicable employee contributions in the following situations (as long as allowed under the applicable provisions, regulations, and rules of the federal and state law in effect at the beginning of the plan year). The request to change coverage must be consistent with a change in status that qualifies as a life event, and does not include changing health or dental plans, which may only be done under the terms of Section 5A above. Any election to add coverage must be made within thirty (30) days following the event, and any election to cancel coverage must be made within sixty (60) days following the event. (An employee and a retired employee may add dependent health or dental coverage following the birth of a child or dependent grandchild, or following the adoption of a child, without regard to the thirty (30) day limit.) These life events (for both employees and retirees) are:
a. A change in legal marital status, including marriage, death of a spouse, divorce, legal separation and annulment.
b. A change in number of dependents, including birth, death, adoption, and placement for adoption.
c. A change in employment status of the employee, or the employee’s or retiree’s spouse or dependent, including termination or commencement of employment, a strike or lockout, a commencement of or return from an unpaid leave of absence, a change in worksite, and a change in working conditions (including changing between part-time and full-time or hourly and salary) of the employee, the employee’s or retiree’s spouse or dependent which results in a change in the benefits they receive under a cafeteria plan or a health or dental plan.
d. A dependent ceasing to satisfy eligibility requirements for coverage due to attainment of age or otherwise no longer meets the eligibility requirements under Section 2C.
e. A change in the place of residence of the employee, retiree or their spouse spouse, or dependent that is not in the health plan service administrator’s service areadependent.
f. Significant cost or coverage changes (including coverage curtailment and the addition of a benefit package).
g. Family Medical Leave Act (FMLA) leave.
h. Judgments, decrees or orders.
i. A change in coverage of a spouse or dependent under another Employer’s plan.
j. Open enrollment under the plan of another Employer.
k. Health Insurance Portability and Accountability Act (HIPAA) special enrollment rights for new dependents and in the case of loss of other insurance coverage.
l. A COBRA-qualifying event.
m. Loss of coverage under the group health plan of a governmental or educational institution (a State’s children’s health insurance program, medical care program of an Indian tribal government, State health benefits risk pool, or foreign government group health plan).
n. Entitlement to Medicare or Medicaid.
o. Any other situations in which the group health or dental plan is required by the applicable federal or state law to allow a change in coverage.
Appears in 12 contracts
Samples: Collective Bargaining Agreement, Agreement Between the Minnesota Government Engineering Council and the State of Minnesota, Collective Bargaining Agreement
Changes Due to a Life Event. After the initial enrollment period and outside of any open enrollment period, an employee ASF Member may elect to change health or dental coverage (including adding or canceling coverage) and any applicable employee ASF Member contributions in the following situations (as long as allowed under the applicable provisions, regulations, and rules of the federal and state law in effect at the beginning of the plan year). The request to change coverage must be consistent with a change in status that qualifies as a life event, and does not include changing health or dental plans, which may only be done under the terms of Section 5A E.1 above. Any election to add coverage must be made within thirty (30) days following the event, and any election to cancel coverage must be made within sixty (60) days following the event. (An employee ASF Member and a retired employee ASF Member may add dependent health or dental coverage following the birth of a child or dependent grandchild, or following the adoption of a child, without regard to the thirty (30) day limit.) These life events (for both employees ASF Members and retirees) retirees are:
a. (1) A change in legal marital status, including marriage, death of a spouse, divorce, legal separation and annulment.;
b. (2) A change in number of dependents, dependents including birth, death, adoption, and placement for adoption.
c. (3) A change in employment status of the employeeASF Member, or the employeeASF Member’s or retiree’s spouse 's spouse, or dependent, including termination or commencement of employment, a strike or lockout, a commencement of or return from an unpaid leave of absence, a change in worksite, and a change in working conditions (including changing between part-time and full-time or hourly and salary) of the employeeASF Member, the employeeASF Member’s or retiree’s 's spouse or dependent which results in a change in the benefits they receive under a cafeteria plan or a health or dental plan.
d. (4) A dependent ceasing to satisfy eligibility requirements for coverage due to attainment of age age, or otherwise no longer meets the eligibility requirements under Section 2C.B(3).
e. (5) A change in the place of residence of the employeeASF Member, retiree or their spouse spouse, or dependent that is not in the health plan service administrator’s service area.
f. (6) Significant cost or coverage changes (including coverage curtailment and the addition of a benefit package).
g. (7) Family and Medical Leave Act (FMLA) leave.
h. (8) Judgments, decrees or orders.
i. (9) A change in coverage of a spouse spouse, or dependent under another Employer’s 's plan.
j. (10) Open enrollment under the plan of another Employer.
k. (11) Health Insurance Portability and Accountability Act (HIPAA) special enrollment rights for new dependents and in the case of loss of other insurance Insurance coverage.
l. (12) A COBRA-qualifying event.
m. (13) Loss of coverage under the group health plan of a governmental or educational institution (a State’s 's children’s 's health insurance program, medical care program of an Indian tribal government, State health benefits risk pool, or foreign government group health plan).
n. (14) Entitlement to Medicare or Medicaid.
o. (15) Any other situations in which the group health or dental plan is required by the applicable federal or state law to allow a change in coverage.
Appears in 11 contracts
Samples: Master Agreement, Collective Bargaining Agreement, Collective Bargaining Agreement
Changes Due to a Life Event. After the initial enrollment period and outside of any open enrollment period, an employee may elect to change health or dental coverage (including adding or canceling coverage) and any applicable employee contributions in the following situations (as long as allowed under the applicable provisions, regulations, and rules of the federal and state law in effect at the beginning of the plan year). The request to change coverage must be consistent with a change in status that qualifies as a life event, and does not include changing health or dental plans, which may only be done under the terms of Section 5A above. Any election to add coverage must be made within thirty (30) days following the event, and any election to cancel coverage must be made within sixty (60) days following the event. (An employee and a retired employee may add dependent health or dental coverage following the birth of a child or dependent grandchild, or following the adoption of a child, without regard to the thirty (30) day limit.) These life events (for both employees and retirees) are:
a. A change in legal marital status, including marriage, death of a spouse, divorce, legal separation and annulment.
b. A change in number of dependents, including birth, death, adoption, and placement for adoption.
c. A change in employment status of the employee, or the employee’s or retiree’s spouse or dependent, including termination or commencement of employment, a strike or lockout, a commencement of or return from an unpaid leave of absence, a change in worksite, and a change in working conditions (including changing between part-time and full-time or hourly and salary) of the employee, the employee’s or retiree’s spouse or dependent which results in a change in the benefits they receive under a cafeteria plan or a health or dental plan.
d. A dependent ceasing to satisfy eligibility requirements for coverage due to attainment of age age, student status, marital status, or otherwise no longer meets the eligibility requirements under Section 2C.other similar circumstances.
e. A change in the place of residence of the employee, retiree or their spouse spouse, or dependent that is not in the health plan service administrator’s service areadependent.
f. Significant cost or coverage changes (including coverage curtailment and the addition of a benefit package).
g. Family Medical Leave Act (FMLA) leave.
h. Judgments, decrees or orders.
i. A change in coverage of a spouse or dependent under another Employer’s plan.
j. Open enrollment under the plan of another Employer.
k. Health Insurance Portability and Accountability Act (HIPAA) special enrollment rights for new dependents and in the case of loss of other insurance coverage.
l. A COBRA-qualifying event.
m. Loss of coverage under the group health plan of a governmental or educational institution (a State’s children’s health insurance program, medical care program of an Indian tribal government, State health benefits risk pool, or foreign government group health plan).
n. Entitlement to Medicare or Medicaid.
o. Any other situations in which the group health or dental plan is required by the applicable federal or state law to allow a change in coverage.
Appears in 9 contracts
Samples: Collective Bargaining Agreement, Collective Bargaining Agreement, Collective Bargaining Agreement
Changes Due to a Life Event. After the initial enrollment period and outside of any open enrollment period, an employee may elect to change health or dental coverage (including adding or canceling coverage) and any applicable employee contributions in the following situations (as long as allowed under the applicable provisions, regulations, and rules of the federal and state law in effect at the beginning of the plan year). The request to change coverage must be consistent with a change in status that qualifies as a life event, and does not include changing health or dental plans, which may only be done under the terms of Section 5A above. Any election to add coverage must be made within thirty (30) days following the event, and any election to cancel coverage must be made within sixty (60) days following the event. (An employee and a retired employee may add dependent health or dental coverage following the birth of a child or dependent grandchild, or following the adoption of a child, without regard to the thirty (30) day limit.) These life events (for both employees and retirees) are:
a. A change in legal marital status, including marriage, death of a spouse, divorce, legal separation and annulment.
b. A change in number of dependents, including birth, death, adoption, and placement for adoption.
c. A change in employment status of the employee, or the employee’s or retiree’s spouse or dependent, including termination or commencement of employment, a strike or lockout, a commencement of or return from an unpaid leave of absence, a change in worksite, and a change in working conditions (including changing between part-time and full-time or hourly and salary) of the employee, the employee’s or retiree’s spouse or dependent which results in a change in the benefits they receive under a cafeteria plan or a health or dental plan.
d. A dependent ceasing to satisfy eligibility requirements for coverage due to attainment of age or otherwise no longer meets the eligibility requirements under Section 2C.
e. A change in the place of residence of the employee, retiree or their spouse spouse, or dependent that is not in the health plan service administrator’s service area.
f. Significant cost or coverage changes (including coverage curtailment and the addition of a benefit package).
g. Family Medical Leave Act (FMLA) leave.
h. Judgments, decrees or orders.
i. A change in coverage of a spouse or dependent under another Employer’s plan.
j. Open enrollment under the plan of another Employer.
k. Health Insurance Portability and Accountability Act (HIPAA) special enrollment rights for new dependents and in the case of loss of other insurance coverage.
l. A COBRA-qualifying event.
m. Loss of coverage under the group health plan of a governmental or educational institution (a State’s children’s health insurance program, medical care program of an Indian tribal government, State health benefits risk pool, or foreign government group health plan).
n. Entitlement to Medicare or Medicaid.
o. Any other situations in which the group health or dental plan is required by the applicable federal or state law to allow a change in coverage.
Appears in 8 contracts
Samples: Collective Bargaining Agreement, Collective Bargaining Agreement, Council Agreement
Changes Due to a Life Event. After the initial enrollment period and outside of any open enrollment period, an employee a supervisor may elect to change health or dental coverage (including adding or canceling coverage) and any applicable employee supervisor contributions in the following situations (as long as allowed under the applicable provisions, regulations, and rules of the federal and state law in effect at the beginning of the plan year). The request to change coverage must be consistent with a change in status that qualifies as a life event, and does not include changing health or dental plans, which may only be done under the terms of Section 5A above. Any election to add coverage must be made within thirty (30) days following the event, and any election to cancel coverage must be made within sixty (60) days following the event. (An employee A supervisor and a retired employee supervisor may add dependent health or dental coverage following the birth of a child or dependent grandchild, or following the adoption of a child, without regard to the thirty (30) day limit.) These life events (for both employees supervisors and retirees) are:
a. A change in legal marital status, including marriage, death of a spouse, divorce, legal separation and annulment.
b. A change in number of dependents, including birth, death, adoption, and placement for adoption.
c. A change in employment status of the employeesupervisor, or the employeesupervisor’s or retiree’s spouse or dependent, including termination or commencement of employment, a strike or lockout, a commencement of or return from an unpaid leave of absence, a change in worksite, and a change in working conditions (including changing between part-time and full-time or hourly and salary) of the employeesupervisor, the employeesupervisor’s or retiree’s spouse or dependent which results in a change in the benefits they receive under a cafeteria plan or a health or dental plan.
d. A dependent ceasing to satisfy eligibility requirements for coverage due to attainment of age or otherwise no longer meets the eligibility requirements under Section 2C.
e. A change in the place of residence of the employeesupervisor, retiree or their spouse spouse, or dependent that is not in the health plan service administrator’s service areadependent.
f. Significant cost or coverage changes (including coverage curtailment and the addition of a benefit package).
g. Family Medical Leave Act (FMLA) leave.
h. Judgments, decrees or orders.
i. A change in coverage of a spouse or dependent under another Employer’s plan.
j. Open enrollment under the plan of another Employer.
k. Health Insurance Portability and Accountability Act (HIPAA) special enrollment rights for new dependents and in the case of loss of other insurance coverage.
l. A COBRA-qualifying event.
m. Loss of coverage under the group health plan of a governmental or educational institution (a State’s children’s health insurance program, medical care program of an Indian tribal government, State health benefits risk pool, or foreign government group health plan).
n. Entitlement to Medicare or Medicaid.
o. Any other situations in which the group health or dental plan is required by the applicable federal or state law to allow a change in coverage.
Appears in 7 contracts
Samples: Collective Bargaining Agreement, Collective Bargaining Agreement, Collective Bargaining Agreement
Changes Due to a Life Event. After the initial enrollment period and outside of any open enrollment period, an employee a supervisor may elect to change health or dental coverage (including adding or canceling coverage) and any applicable employee supervisor contributions in the following situations (as long as allowed under the applicable provisions, regulations, and rules of the federal and state law in effect at the beginning of the plan year). The request to change coverage must be consistent with a change in status that qualifies as a life event, and does not include changing health or dental plans, which may only be done under the terms of Section 5A above. Any election to add coverage must be made within thirty (30) days following the event, and any election to cancel coverage must be made within sixty (60) days following the event. (An employee A supervisor and a retired employee supervisor may add dependent health or dental coverage following the birth of a child or dependent grandchild, or following the adoption of a child, without regard to the thirty (30) day limit.) These life events (for both employees supervisors and retirees) are:
a. A change in legal marital status, including marriage, death of a spouse, divorce, legal separation and annulment.
b. A change in number of dependents, including birth, death, adoption, and placement for adoption.
c. A change in employment status of the employeesupervisor, or the employeesupervisor’s or retiree’s spouse or dependent, including termination or commencement of employment, a strike or lockout, a commencement of or return from an unpaid leave of absence, a change in worksite, and a change in working conditions (including changing between part-time and full-time or hourly and salary) of the employeesupervisor, the employeesupervisor’s or retiree’s spouse or dependent which results in a change in the benefits they receive under a cafeteria plan or a health or dental plan.
d. A dependent ceasing to satisfy eligibility requirements for coverage due to attainment of age or otherwise no longer meets the eligibility requirements under Section 2C.
e. A change in the place of residence of the employeesupervisor, retiree or their spouse spouse, or dependent that is not in the health plan service administrator’s service area.
f. Significant cost or coverage changes (including coverage curtailment and the addition of a benefit package).
g. Family Medical Leave Act (FMLA) leave.
h. Judgments, decrees or orders.
i. A change in coverage of a spouse or dependent under another Employer’s plan.
j. Open enrollment under the plan of another Employer.
k. Health Insurance Portability and Accountability Act (HIPAA) special enrollment rights for new dependents and in the case of loss of other insurance coverage.
l. A COBRA-qualifying event.
m. Loss of coverage under the group health plan of a governmental or educational institution (a State’s children’s health insurance program, medical care program of an Indian tribal government, State health benefits risk pool, or foreign government group health plan).
n. Entitlement to Medicare or Medicaid.
o. Any other situations in which the group health or dental plan is required by the applicable federal or state law to allow a change in coverage.
Appears in 6 contracts
Samples: Collective Bargaining Agreement, Collective Bargaining Agreement, Collective Bargaining Agreement
Changes Due to a Life Event. After the initial enrollment period and outside of any open enrollment period, an employee ASF Member may elect to change health or dental coverage (including adding or canceling coverage) and any applicable employee ASF Member contributions in the following situations (as long as allowed under the applicable provisions, regulations, and rules of the federal and state law in effect at the beginning of the plan year). The request to change coverage must be consistent with a change in status that qualifies as a life event, and does not include changing health or dental plans, which may only be done under the terms of Section 5A E.1 above. Any election to add coverage must be made within thirty (30) days following the event, and any election to cancel coverage must be made within sixty (60) days following the event. (An employee ASF Member and a retired employee ASF Member may add dependent health or dental coverage following the birth of a child or dependent grandchild, or following the adoption of a child, without regard to the thirty (30) day limit.) These life events (for both employees ASF Members and retirees) retirees are:
a. (1) A change in legal marital status, including marriage, death of a spouse, divorce, legal separation and annulment.;
b. (2) A change in number of dependents, dependents including birth, death, adoption, and placement for adoption.
c. (3) A change in employment status of the employeeASF Member, or the employeeASF Member’s or retiree’s spouse 's spouse, or dependent, including termination or commencement of employment, a strike or lockout, a commencement of or return from an unpaid leave of absence, a change in worksite, and a change in working conditions (including changing between part-time and full-time or hourly and salary) of the employeeASF Member, the employeeASF Member’s or retiree’s 's spouse or dependent which results in a change in the benefits they receive under a cafeteria plan or a health or dental plan.
d. (4) A dependent ceasing to satisfy eligibility requirements for coverage due to attainment of age age, or otherwise no longer meets the eligibility requirements under Section 2C.B(3).
e. (5) A change in the place of residence of the employeeASF Member, retiree or their spouse spouse, or dependent that is not in the health plan service administrator’s service areadependent.
f. (6) Significant cost or coverage changes (including coverage curtailment and the addition of a benefit package).
g. (7) Family and Medical Leave Act (FMLA) leave.
h. (8) Judgments, decrees or orders.
i. (9) A change in coverage of a spouse spouse, or dependent under another Employer’s 's plan.
j. (10) Open enrollment under the plan of another Employer.
k. (11) Health Insurance Portability and Accountability Act (HIPAA) special enrollment rights for new dependents and in the case of loss of other insurance Insurance coverage.
l. (12) A COBRA-qualifying event.
m. (13) Loss of coverage under the group health plan of a governmental or educational institution (a State’s 's children’s 's health insurance program, medical care program of an Indian tribal government, State health benefits risk pool, or foreign government group health plan).
n. (14) Entitlement to Medicare or Medicaid.
o. (15) Any other situations in which the group health or dental plan is required by the applicable federal or state law to allow a change in coverage.
Appears in 5 contracts
Samples: Collective Bargaining Agreement, Collective Bargaining Agreement, Collective Bargaining Agreement
Changes Due to a Life Event. After the initial enrollment period and outside of any open enrollment period, an employee a nurse may elect to change health or dental coverage (including adding or canceling coverage) and any applicable employee nurse contributions in the following situations (as long as allowed under the applicable provisions, regulations, and rules of the federal and state law in effect at the beginning of the plan year). The request to change coverage must be consistent with a change in status that qualifies as a life event, and does not include changing health or dental plans, which may only be done under the terms of Section 5A above. Any election to add coverage must be made within thirty (30) days following the event, and any election to cancel coverage must be made within sixty (60) days following the event. (An employee A nurse and a retired employee nurse may add dependent health or dental coverage following the birth of a child or dependent grandchild, or following the adoption of a child, without regard to the thirty (30) day limit.) These life events (for both employees nurses and retirees) are:
a. A change in legal marital status, including marriage, death of a spouse, divorce, legal separation and annulment.
b. A change in number of dependents, including birth, death, adoption, and placement for adoption.
c. A change in employment status of the employeenurse, or the employeenurse’s or retiree’s spouse or dependent, including termination or commencement of employment, a strike or lockout, a commencement of or return from an unpaid leave of absence, a change in worksite, and a change in working conditions (including changing between part-time and full-time or hourly and salary) of the employeenurse, the employeenurse’s or retiree’s spouse or dependent which results in a change in the benefits they receive under a cafeteria plan or a health or dental plan.
d. A dependent ceasing to satisfy eligibility requirements for coverage due to attainment of age or otherwise no longer meets the eligibility requirements under Section 2C.
e. A change in the place of residence of the employeenurse, retiree or their spouse or dependent that is not in the health plan service administrator’s service areadependent.
f. Significant cost or coverage changes (including coverage curtailment and the addition of a benefit package).
g. Family Medical Leave Act (FMLA) leave.
h. Judgments, decrees or orders.
i. A change in coverage of a spouse or dependent under another Employer’s plan.
j. Open enrollment under the plan of another Employer.
k. Health Insurance Portability and Accountability Act (HIPAA) special enrollment rights for new dependents and in the case of loss of other insurance coverage.
l. A COBRA-qualifying event.
m. Loss of coverage under the group health plan of a governmental or educational institution (a State’s children’s health insurance program, medical care program of an Indian tribal government, State health benefits risk pool, or foreign government group health plan).
n. Entitlement to Medicare or Medicaid.
o. Any other situations in which the group health or dental plan is required by the applicable federal or state law to allow a change in coverage.
Appears in 4 contracts
Samples: Collective Bargaining Agreement, Collective Bargaining Agreement, Employment Agreement
Changes Due to a Life Event. After the initial enrollment period and outside of any open enrollment period, an employee a teacher may elect to change health or dental coverage (including adding or canceling coverage) and any applicable employee teacher contributions in the following situations (as long as allowed under the applicable provisions, regulations, and rules of the federal and state law in effect at the beginning of the plan year). The request to change coverage must be consistent with a change in status that qualifies as a life event, and does not include changing health or dental plans, which may only be done under the terms of Section 5A above. Any election to add coverage must be made within thirty (30) days following the event, and any election to cancel coverage must be made within sixty (60) days following the event. (An employee A teacher and a retired employee teacher may add dependent health or dental coverage following the birth of a child or dependent grandchild, or following the adoption of a child, without regard to the thirty (30) day limit.) These life events (for both employees teachers and retirees) are:
a. A change in legal marital status, including marriage, death of a spouse, divorce, legal separation and annulment.
b. A change in number of dependents, including birth, death, adoption, and placement for adoption.
c. A change in employment status of the employeeteacher, or the employeeteacher’s or retiree’s spouse or dependent, including termination or commencement of employment, a strike or lockout, a commencement of or return from an unpaid leave of absence, a change in worksite, and a change in working conditions (including changing between part-time and full-time or hourly and salary) of the employeeteacher, the employeeteacher’s or retiree’s spouse or dependent which results in a change in the benefits they receive under a cafeteria plan or a health or dental plan.
d. A dependent ceasing to satisfy eligibility requirements for coverage due to attainment of age or otherwise no longer meets the eligibility requirements under Section 2C.
e. A change in the place of residence of the employeeteacher, retiree or their spouse spouse, or dependent that is not in the health plan service administrator’s service areadependent.
f. Significant cost or coverage changes (including coverage curtailment and the addition of a benefit package).
g. Family Medical Leave Act (FMLA) leave.
h. Judgments, decrees or orders.
i. A change in coverage of a spouse or dependent under another Employer’s plan.
j. Open enrollment under the plan of another Employer.
k. Health Insurance Portability and Accountability Act (HIPAA) special enrollment rights for new dependents and in the case of loss of other insurance coverage.
l. A COBRA-qualifying event.
m. Loss of coverage under the group health plan of a governmental or educational institution (a State’s children’s health insurance program, medical care program of an Indian tribal government, State health benefits risk pool, or foreign government group health plan).
n. Entitlement to Medicare or Medicaid.
o. Any other situations in which the group health or dental plan is required by the applicable federal or state law to allow a change in coverage.
Appears in 4 contracts
Samples: Labor Agreement, Labor Agreement, Labor Agreement
Changes Due to a Life Event. After the initial enrollment period and outside of any open enrollment period, an employee a supervisor may elect to change health or dental coverage (including adding or canceling coverage) and any applicable employee supervisor contributions in the following situations (as long as allowed under the applicable provisions, regulations, and rules of the federal and state law in effect at the beginning of the plan year). The request to change coverage must be consistent with a change in status that qualifies as a life event, and does not include changing health or dental plans, which may only be done under the terms of Section 5A above. Any election to add coverage must be made within thirty (30) days following the event, and any election to cancel coverage must be made within sixty (60) days following the event. (An employee A supervisor and a retired employee supervisor may add dependent health or dental coverage following the birth of a child or dependent grandchild, or following the adoption of a child, without regard to the thirty (30) day limit.) These life events (for both employees supervisors and retirees) are:
a. A change in legal marital status, including marriage, death of a spouse, divorce, legal separation and annulment.
b. A change in number of dependents, including birth, death, adoption, and placement for adoption.
c. A change in employment status of the employeesupervisor, or the employeesupervisor’s or retiree’s spouse or dependent, including termination or commencement of employment, a strike or lockout, a commencement of or return from an unpaid leave of absence, a change in worksite, and a change in working conditions (including changing between part-time and full-time or hourly and salary) of the employeesupervisor, the employeesupervisor’s or retiree’s spouse or dependent which results in a change in the benefits they receive under a cafeteria plan or a health or dental plan.
d. A dependent ceasing to satisfy eligibility requirements for coverage due to attainment of age age, student status, marital status, or otherwise no longer meets the eligibility requirements under Section 2C.other similar circumstances.
e. A change in the place of residence of the employeesupervisor, retiree or their spouse spouse, or dependent that is not in the health plan service administrator’s service areadependent.
f. Significant cost or coverage changes (including coverage curtailment and the addition of a benefit package).
g. Family Medical Leave Act (FMLA) leave.
h. Judgments, decrees or orders.
i. A change in coverage of a spouse or dependent under another Employer’s plan.
j. Open enrollment under the plan of another Employer.
k. Health Insurance Portability and Accountability Act (HIPAA) special enrollment rights for new dependents and in the case of loss of other insurance coverage.
l. A COBRA-qualifying event.
m. Loss of coverage under the group health plan of a governmental or educational institution (a State’s children’s health insurance program, medical care program of an Indian tribal government, State health benefits risk pool, or foreign government group health plan).
n. Entitlement to Medicare or Medicaid.
o. Any other situations in which the group health or dental plan is required by the applicable federal or state law to allow a change in coverage.
Appears in 3 contracts
Samples: Collective Bargaining Agreement, Collective Bargaining Agreement, Collective Bargaining Agreement
Changes Due to a Life Event. After the initial enrollment period and outside of any open enrollment period, an employee may elect to change health or dental coverage (including adding or canceling coverage) and any applicable employee contributions in the following situations (as long as allowed under the applicable provisions, regulations, and rules of the federal and state law in effect at the beginning of the plan year). The request to change coverage must be consistent with a change in status that qualifies as a life event, and does not include changing health or dental plans, which may only be done under the terms of Section 5A above. Any election to add coverage must be made within thirty (30) days following the event, and any election to cancel coverage must be made within sixty (60) days following the event. (An employee and a retired employee may add dependent health or dental coverage following the birth of a child or dependent grandchild, or following the adoption of a child, without regard to the thirty (30) day limit.) These life events (for both employees and retirees) are:
a. A change in legal marital status, including marriage, death of a spouse, divorce, legal separation and annulment.
b. A change in number of dependents, including birth, death, adoption, and placement for adoption.
c. A change in employment status of the employee, or the employee’s or retiree’s spouse or dependent, including termination or commencement of employment, a strike or lockout, a commencement of or return from an unpaid leave of absence, a change in worksite, and a change in working conditions (including changing between part-time and full-time or hourly and salary) of the employee, the employee’s or retiree’s spouse or dependent which results in a change in the benefits they receive under a cafeteria plan or a health or dental plan.
d. A dependent ceasing to satisfy eligibility requirements for coverage due to attainment of age age, student status, marital status, or otherwise no longer meets the eligibility requirements under Section 2C.other similar circumstances.
e. A change in the place of residence of the employee, retiree or their spouse or dependent that is not in the health plan service administrator’s service areadependent.
f. Significant cost or coverage changes (including coverage curtailment and the addition of a benefit package).
g. Family Medical Leave Act (FMLA) leave.
h. Judgments, decrees or orders.
i. A change in coverage of a spouse or dependent under another Employer’s plan.
j. Open enrollment under the plan of another Employer.
k. Health Insurance Portability and Accountability Act (HIPAA) special enrollment rights for new dependents and in the case of loss of other insurance coverage.
l. A COBRA-qualifying event.
m. Loss of coverage under the group health plan of a governmental or educational institution (a State’s children’s health insurance program, medical care program of an Indian tribal government, State health benefits risk pool, or foreign government group health plan).
n. Entitlement to Medicare or Medicaid.
o. Any other situations in which the group health or dental plan is required by the applicable federal or state law to allow a change in coverage.
Appears in 3 contracts
Samples: Labor Agreement, Collective Bargaining Agreement, Collective Bargaining Agreement
Changes Due to a Life Event. After the initial enrollment period and outside of any open enrollment period, an employee a teacher may elect to change health or dental coverage (including adding or canceling coverage) and any applicable employee teacher contributions in the following situations (as long as allowed under the applicable provisions, regulations, and rules of the federal and state law in effect at the beginning of the plan year). The request to change coverage must be consistent with a change in status that qualifies as a life event, and does not include changing health or dental plans, which may only be done under the terms of Section 5A above. Any election to add coverage must be made within thirty (30) days following the event, and any election to cancel coverage must be made within sixty (60) days following the event. (An employee A teacher and a retired employee teacher may add dependent health or dental coverage following the birth of a child or dependent grandchild, or following the adoption of a child, without regard to the thirty (30) day limit.) These life events (for both employees teachers and retirees) are:
a. A change in legal marital status, including marriage, death of a spouse, divorce, legal separation and annulment.
b. A change in number of dependents, including birth, death, adoption, and placement for adoption.
c. A change in employment status of the employeeteacher, or the employeeteacher’s or retiree’s spouse or dependent, including termination or commencement of employment, a strike or lockout, a commencement of or return from an unpaid leave of absence, a change in worksite, and a change in working conditions (including changing between part-time and full-time or hourly and salary) of the employeeteacher, the employeeteacher’s or retiree’s spouse or dependent which results in a change in the benefits they receive under a cafeteria plan or a health or dental plan.
d. A dependent ceasing to satisfy eligibility requirements for coverage due to attainment of age or otherwise no longer meets the eligibility requirements under Section 2C.
e. A change in the place of residence of the employeeteacher, retiree or their spouse spouse, or dependent that is not in the health plan service administrator’s service area.
f. Significant cost or coverage changes (including coverage curtailment and the addition of a benefit package).
g. Family Medical Leave Act (FMLA) leave.
h. Judgments, decrees or orders.
i. A change in coverage of a spouse or dependent under another Employer’s plan.
j. Open enrollment under the plan of another Employer.
k. Health Insurance Portability and Accountability Act (HIPAA) special enrollment rights for new dependents and in the case of loss of other insurance coverage.
l. A COBRA-qualifying event.
m. Loss of coverage under the group health plan of a governmental or educational institution (a State’s children’s health insurance program, medical care program of an Indian tribal government, State health benefits risk pool, or foreign government group health plan).
n. Entitlement to Medicare or Medicaid.
o. Any other situations in which the group health or dental plan is required by the applicable federal or state law to allow a change in coverage.
Appears in 3 contracts
Samples: Labor Agreement, Labor Agreement, Labor Agreement
Changes Due to a Life Event. After the initial enrollment period and outside of any open enrollment period, an employee may elect to change health or dental coverage (including adding or canceling coverage) and any applicable employee contributions in the following situations (as long as allowed under the applicable provisions, regulations, and rules of the federal and state law in effect at the beginning of the plan year). The request to change coverage must be consistent with a change in status that qualifies as a life event, and does not include changing health or dental plans, which may only be done under the terms of Section 5A E.1 above. Any election to add coverage must be made within thirty (30) days following the event, and any election to cancel coverage must be made within sixty (60) days following the event. (An employee and a retired employee may add dependent health or dental coverage following the birth of a child or dependent grandchild, or following the adoption of a child, without regard to the thirty (30) day limit.) These life events (for both employees and retirees) retirees are:
a. (1) A change in legal marital status, including marriage, death of a spouse, divorce, legal separation and annulment.;
b. (2) A change in number of dependents, dependents including birth, death, adoption, and placement for adoption.
c. (3) A change in employment status of the employee, or the employee’s 's or retiree’s spouse 's spouse, or dependent, including termination or commencement of employment, a strike or lockout, a commencement of or return from an unpaid leave of absence, a change in worksite, and a change in working conditions (including changing between part-time and full-time or hourly and salary) of the employee, the employee’s 's or retiree’s 's spouse or dependent which results in a change in the benefits they receive under a cafeteria plan or a health or dental plan.
d. (4) A dependent ceasing to satisfy eligibility requirements for coverage due to attainment of age age, or otherwise no longer meets the eligibility requirements under Section 2C.B(3).
e. (5) A change in the place of residence of the employee, retiree or their spouse spouse, or dependent that is not in the health plan service administrator’s service areadependent.
f. (6) Significant cost or coverage changes (including coverage curtailment and the addition of a benefit package).
g. (7) Family and Medical Leave Act (FMLA) leave.
h. (8) Judgments, decrees or orders.
i. (9) A change in coverage of a spouse spouse, or dependent under another Employer’s 's plan.
j. (10) Open enrollment under the plan of another Employer.
k. (11) Health Insurance Portability and Accountability Act (HIPAA) special enrollment rights for new dependents and in the case of loss of other insurance Insurance coverage.
l. (12) A COBRA-qualifying event.
m. (13) Loss of coverage under the group health plan of a governmental or educational institution (a State’s 's children’s 's health insurance program, medical care program of an Indian tribal government, State health benefits risk pool, or foreign government group health plan).
n. (14) Entitlement to Medicare or Medicaid.
o. (15) Any other situations in which the group health or dental plan is required by the applicable federal or state law to allow a change in coverage.
Appears in 3 contracts
Samples: Master Agreement, Master Agreement, Master Agreement
Changes Due to a Life Event. After the initial enrollment period and outside of any open enrollment period, an employee a nurse may elect to change health or dental coverage (including adding or canceling coverage) and any applicable employee nurse contributions in the following situations (as long as allowed under the applicable provisions, regulations, and rules of the federal and state law in effect at the beginning of the plan year). The request to change coverage must be consistent with a change in status that qualifies as a life event, and does not include changing health or dental plans, which may only be done under the terms of Section 5A above. Any election to add coverage must be made within thirty (30) days following the event, and any election to cancel coverage must be made within sixty (60) days following the event. (An employee A nurse and a retired employee nurse may add dependent health or dental coverage following the birth of a child or dependent grandchild, or following the adoption of a child, without regard to the thirty (30) day limit.) These life events (for both employees nurses and retirees) are:
a. A change in legal marital status, including marriage, death of a spouse, divorce, legal separation and annulment.
b. A change in number of dependents, including birth, death, adoption, and placement for adoption.
c. A change in employment status of the employeenurse, or the employeenurse’s or retiree’s spouse or dependent, including termination or commencement of employment, a strike or lockout, a commencement of or return from an unpaid leave of absence, a change in worksite, and a change in working conditions (including changing between part-time and full-time or hourly and salary) of the employeenurse, the employeenurse’s or retiree’s spouse or dependent which results in a change in the benefits they receive under a cafeteria plan or a health or dental plan.
d. A dependent ceasing to satisfy eligibility requirements for coverage due to attainment of age or otherwise no longer meets the eligibility requirements under Section 2C.
e. A change in the place of residence of the employeenurse, retiree or their spouse or dependent that is not in the health plan service administrator’s service area.
f. Significant cost or coverage changes (including coverage curtailment and the addition of a benefit package).
g. Family Medical Leave Act (FMLA) leave.
h. Judgments, decrees or orders.
i. A change in coverage of a spouse or dependent under another Employer’s plan.
j. Open enrollment under the plan of another Employer.
k. Health Insurance Portability and Accountability Act (HIPAA) special enrollment rights for new dependents and in the case of loss of other insurance coverage.
l. A COBRA-qualifying event.
m. Loss of coverage under the group health plan of a governmental or educational institution (a State’s children’s health insurance program, medical care program of an Indian tribal government, State health benefits risk pool, or foreign government group health plan).
n. Entitlement to Medicare or Medicaid.
o. Any other situations in which the group health or dental plan is required by the applicable federal or state law to allow a change in coverage.
Appears in 3 contracts
Samples: Collective Bargaining Agreement, Collective Bargaining Agreement, Collective Bargaining Agreement
Changes Due to a Life Event. After the initial enrollment period and outside of any open enrollment period, an employee may elect to change health or dental coverage (including adding or canceling coverage) and any applicable employee contributions in the following situations (as long as allowed under the applicable provisions, regulations, and rules of the federal and state law in effect at the beginning of the plan year). The request to change coverage must be consistent with a change in status that qualifies as a life event, and does not include changing health or dental plans, which may only be done under the terms of Section 5A above. Any election to add coverage must be made within thirty (30) days following the event, and any election to cancel coverage must be made within sixty (60) days following the event. (An employee and a retired employee may add dependent health or dental coverage following the birth of a child or dependent grandchild, or following the adoption of a child, without regard to the thirty (30) day limit.) These life events (for both employees and retirees) are:
a. A change in legal marital status, including marriage, death of a spouse, divorce, legal separation and annulment.
b. A change in number of dependents, including birth, death, adoption, and placement for adoption.
c. A change in employment status of the employee, or the employee’s or retiree’s spouse or dependent, including termination or commencement of employment, a strike or lockout, a commencement of or return from an unpaid leave of absence, a change in worksite, and a change in working conditions (including changing between part-time and full-time or hourly and salary) of the employee, the employee’s or retiree’s spouse or dependent which results in a change in the benefits they receive under a cafeteria plan or a health or dental plan.
d. A dependent ceasing to satisfy eligibility requirements for coverage due to attainment of age or otherwise no longer meets the eligibility requirements under Section 2C.
e. A change in the place of residence of the employee, retiree or their spouse spouse, or dependent that is not in the health plan service administrator’s service area.
f. Significant cost or coverage changes (including coverage curtailment and the addition of a benefit package).
g. Family Medical Leave Act (FMLA) leave.
h. Judgments, decrees or orders.
i. A change in coverage of a spouse or dependent under another Employer’s plan.
j. Open enrollment under the plan of another Employer.
k. Health Insurance Portability and Accountability Act (HIPAA) special enrollment rights for new dependents and in the case of loss of other insurance coverage.
l. A COBRA-qualifying event.
m. Loss of coverage under the group health plan of a governmental or educational institution (a State’s children’s health insurance program, medical care program of an Indian tribal government, State health benefits risk pool, or foreign government group health plan).
plan). n. Entitlement to Medicare or Medicaid.
o. Any other situations in which the group health or dental plan is required by the applicable federal or state law to allow a change in coverage.
Appears in 3 contracts
Samples: Collective Bargaining Agreement, Collective Bargaining Agreement, Collective Bargaining Agreement
Changes Due to a Life Event. After the initial enrollment period and outside of any open anyopen enrollment period, an employee may elect to change health or dental coverage (including adding or canceling coverage) and any applicable employee contributions in the following situations (as long as allowed under the applicable provisions, regulations, and rules of the federal and state law in effect at the beginning of the plan year). The request to change coverage must be consistent with a change in status that qualifies as a life event, and does not include changing health or dental plans, which may only be done under the terms of Section 5A above. Any election to add coverage must be made within thirty (30) days following the event, and any election to cancel coverage must be made within sixty (60) days following the event. (An employee and a retired employee may add dependent health or dental coverage following the birth of a child or dependent grandchild, or following the adoption of a child, without regard to the thirty (30) day limit.) These life events (for both employees and retirees) are:
a. A change in legal marital status, including marriage, death of a spouse, divorce, legal separation and annulment.
b. A change in number of dependents, including birth, death, adoption, and placement for adoption.
c. A change in employment status of the employee, or the employee’s or retiree’s spouse or dependent, including termination or commencement of employment, a strike or lockout, a commencement of or return from an unpaid leave of absence, a change in worksite, and a change in working conditions (including changing between part-time and full-time or hourly and salary) of the employee, the employee’s or retiree’s spouse or dependent which results in a change in the benefits they receive under a cafeteria plan or a health or dental plan.
d. A dependent ceasing to satisfy eligibility requirements for coverage due to attainment of age or otherwise no longer meets the eligibility requirements under requirementsunder Section 2C.
e. A change in the place of residence of the employee, retiree or their spouse or dependent that is not in the health plan service administrator’s service area.
f. Significant cost or coverage changes (including coverage curtailment and the andthe addition of a benefit package).
g. Family Medical Leave Act (FMLA) leave.
h. Judgments, decrees or orders.
i. A change in coverage of a spouse or dependent under another Employer’s plan.
j. Open enrollment under the plan of another Employer.
k. Health Insurance Portability and Accountability Act (HIPAA) special enrollment rights enrollmentrights for new dependents and in the case of loss of other insurance coverage.
l. A COBRA-qualifying event.
m. Loss of coverage under the group health plan of a governmental or educational institution (a State’s children’s health insurance program, medical care program of an Indian tribal government, State health benefits risk pool, or foreign government group health plan).
n. Entitlement to Medicare or Medicaid.
o. Any other situations in which the group health or dental plan is required by the applicable federal or state law to allow a change in coverage.
Appears in 2 contracts
Samples: Collective Bargaining Agreement, Collective Bargaining Agreement
Changes Due to a Life Event. After the initial enrollment period and outside of any open enrollment period, an employee a supervisor may elect to change health or dental coverage (including adding or canceling coverage) and any applicable employee supervisor contributions in the following situations (as long as allowed under the applicable provisions, regulations, and rules of the federal and state law in effect at the beginning of the plan year). The request to change coverage must be consistent with a change in status that qualifies as a life event, and does not include changing health or dental plans, which may only be done under the terms of Section 5A above. Any election to add coverage must be made within thirty (30) days following the event, and any election to cancel coverage must be made within sixty (60) days following the event. (An employee A supervisor and a retired employee supervisor may add dependent health or dental coverage following the birth of a child or dependent grandchild, or following the adoption of a child, without regard to the thirty (30) day limit.) These life events (for both employees supervisors and retirees) are:
a. A change in legal marital status, including marriage, death of a spouse, divorce, legal separation and annulment.
b. A change in number of dependents, including birth, death, adoption, and placement for adoption.
c. A change in employment status of the employeesupervisor, or the employeesupervisor’s or retiree’s spouse or dependent, including termination or commencement of employment, a strike or lockout, a commencement of or return from an unpaid leave of absence, a change in worksite, and a change in working conditions (including changing between part-time and full-time or hourly and salary) of the employeesupervisor, the employeesupervisor’s or retiree’s spouse or dependent which results in a change in the benefits they receive under a cafeteria plan or a health or dental plan.
d. A dependent ceasing to satisfy eligibility requirements for coverage due to attainment of age or otherwise no longer meets the eligibility requirements under Section 2C.
e. A change in the place of residence of the employeesupervisor, retiree or their spouse spouse, or dependent that is not in the health plan service administrator’s service areadependent.
f. Significant cost or coverage changes (including coverage curtailment and the addition of a benefit package).
g. Family Medical Leave Act (FMLA) leave.
h. Judgments, decrees or orders.
i. A change in coverage of a spouse or dependent under another Employer’s plan.
j. Open enrollment under the plan of another Employer.
k. Health Insurance Portability and Accountability Act (HIPAA) special enrollment rights for new dependents and in the case of loss of other insurance coverage.
l. A COBRA-qualifying event.
m. Loss of coverage under the group health plan of a governmental or educational institution (a State’s children’s health insurance program, medical care program of an Indian tribal government, State health benefits risk pool, or foreign government group health plan).
n. Entitlement to Medicare or Medicaid.
o. Any other situations in which the group health or dental plan is required by the applicable federal or state law to allow a change in coverage.
Appears in 2 contracts
Samples: Collective Bargaining Agreement, Collective Bargaining Agreement
Changes Due to a Life Event. After the initial enrollment period and outside of any open enrollment period, an employee may elect to change health or dental coverage (including adding or canceling coverage) and any applicable employee contributions in the following situations (as long as allowed under the applicable provisions, regulations, and rules of the federal and state law in effect at the beginning of the plan year). The request to change coverage must be consistent with a change in status that qualifies as a life event, and does not include changing health or dental plans, which may only be done under the terms of Section 5A E.I above. Any election to add coverage must be made within thirty (30) days following the event, and any election to cancel coverage must be made within sixty (60) days following the event. (An employee and a retired employee may add dependent health or dental coverage following the birth of a child or dependent grandchild, or following the adoption of a child, without regard to the thirty (30) day limit.) These life events (for both employees and retirees) retirees are:
a. (1) A change in legal marital status, including marriage, death of a spouse, divorce, legal separation and annulment.;
b. (2) A change in number of dependents, dependents including birth, death, adoption, and placement for adoption.
c. (3) A change in employment status of the employee, or the employee’s 's or retiree’s spouse 's spouse, or dependent, including termination or commencement of employment, a strike or lockout, a commencement of or return from an unpaid leave of absence, a change in worksite, and a change in working conditions (including changing between part-time and full-time or hourly and salary) of the employee, the employee’s 's or retiree’s 's spouse or dependent which results in a change in the benefits they receive under a cafeteria plan or a health or dental plan.
d. (4) A dependent ceasing to satisfy eligibility requirements for coverage due to attainment of age age, student status, marital status, or other similar circumstances or otherwise no longer meets the eligibility requirements under Section 2C.B(3).
e. (5) A change in the place of residence of the employee, retiree or their spouse spouse, or dependent that is not in the health plan service administrator’s service areadependent.
f. (6) Significant cost or coverage changes (including coverage curtailment and the addition of a benefit package).
g. (7) Family Medical Leave Act (FMLA) leave.
h. (8) Judgments, decrees or orders.
i. (9) A change in coverage of a spouse spouse, or dependent under another Employer’s 's plan.
j. (10) Open enrollment under the plan of another Employer.
k. (11) Health Insurance Portability and Accountability Act (HIPAA) special enrollment rights for new dependents and in the case of loss of other insurance Insurance coverage.
l. (12) A COBRA-qualifying event.
m. (13) Loss of coverage under the group health plan of a governmental or educational institution (a State’s 's children’s 's health insurance program, medical care program of an Indian tribal government, State health benefits risk pool, or foreign government group health plan).
n. (14) Entitlement to Medicare or Medicaid.
o. (15) Any other situations in which the group health or dental plan is required by the applicable federal or state law to allow a change in coverage.
Appears in 1 contract
Samples: Master Agreement
Changes Due to a Life Event. After the initial enrollment period and outside of any open enrollment period, an employee may elect to change health or dental coverage (including adding or canceling coverage) and any applicable employee contributions in the following situations (as long as allowed under the applicable provisions, regulations, and rules of the federal and state law in effect at the beginning of the plan year). The request to change coverage must be consistent with a change in status that qualifies as a life event, and does not include changing health or dental plans, which may only be done under the terms of Section 5A above. Any election to add coverage must be made within thirty (30) days following the event, and any election to cancel coverage must be made within sixty (60) days following the event. (An employee and a retired employee may add dependent health or dental coverage following the birth of a child or dependent grandchild, or following the adoption of a child, without regard to the thirty (30) day limit.) These life events (for both employees and retirees) are:
a. A change in legal marital status, including marriage, death of a spouse, divorce, legal separation and annulment.
b. A change in number of dependents, including birth, death, adoption, and placement for adoption.
c. A change in employment status of the employee, or the employee’s or retiree’s spouse or dependent, including termination or commencement of employment, a strike or lockout, a commencement of or return from an unpaid leave of absence, a change in worksite, and a change in working conditions (including changing between part-time part‐time and full-time full‐time or hourly and salary) of the employee, the employee’s or retiree’s spouse or dependent which results in a change in the benefits they receive under a cafeteria plan or a health or dental plan.
d. A dependent ceasing to satisfy eligibility requirements for coverage due to attainment of age or otherwise no longer meets the eligibility requirements under Section 2C.
e. A change in the place of residence of the employee, retiree or their spouse spouse, or dependent that is not in the health plan service administrator’s service area.
f. Significant cost or coverage changes (including coverage curtailment and the addition of a benefit package).
g. Family Medical Leave Act (FMLA) leave.
h. Judgments, decrees or orders.
i. A change in coverage of a spouse or dependent under another Employer’s plan.
j. Open enrollment under the plan of another Employer.
k. Health Insurance Portability and Accountability Act (HIPAA) special enrollment rights for new dependents and in the case of loss of other insurance coverage.
l. A COBRA-qualifying COBRA‐qualifying event.
m. Loss of coverage under the group health plan of a governmental or educational institution (a State’s children’s health insurance program, medical care program of an Indian tribal government, State health benefits risk pool, or foreign government group health plan).
n. Entitlement to Medicare or Medicaid.
o. Any other situations in which the group health or dental plan is required by the applicable federal or state law to allow a change in coverage.
Appears in 1 contract
Samples: Collective Bargaining Agreement
Changes Due to a Life Event. After the initial enrollment period and outside of any open enrollment period, an employee may elect to change health or dental coverage (including adding or canceling coverage) and any applicable employee contributions in the following situations (as long as allowed under the applicable provisions, regulations, and rules of the federal and sate state law in effect at the beginning of the plan year). The request to change coverage must be consistent with a change in status that qualifies as a life event, and does not include changing health or dental plans, which may only be done under the terms of Section 5A E.I above. Any election to add coverage must be made within thirty (30) days following the event, and any election to cancel coverage must be made within sixty (60) days following the event. (An employee and a retired employee may add dependent health or dental coverage following the birth of a child or dependent grandchild, or following the adoption of a child, without regard to the thirty (30) day limit.) These life events (for both employees and retirees) retirees are:
a. (i) A change in legal marital status, including marriage, death of a spouse, divorce, legal separation and annulment.;
b. (ii) A change in number of dependents, dependents including birth, death, adoption, and placement for adoption.
c. (iii) A change in employment status of the employee, or the employee’s 's or retiree’s spouse 's spouse, or dependent, including termination or commencement of employment, a strike or lockout, a commencement of or return from an unpaid leave of absence, a change in worksite, and a change in working conditions (including changing between part-time and full-time or hourly and salary) of the employee, the employee’s 's or retiree’s 's spouse or dependent which results in a change in the benefits they receive under a cafeteria plan or a health or dental plan.
d. (iv) A dependent ceasing to satisfy eligibility requirements for coverage due to attainment of age age, student status, marital status, or otherwise no longer meets the eligibility requirements under Section 2C.other similar circumstances.
e. (v) A change in the place of residence of the employee, retiree or their spouse spouse, or dependent that is not in the health plan service administrator’s service areadependent.
f. (vi) Significant cost or coverage changes (including coverage curtailment and the addition of a benefit package).
g. (vii) Family Medical Leave Act (FMLA) leave.
h. (viii) Judgments, decrees or orders.
i. (ix) A change in coverage of a spouse spouse, or dependent under another Employer’s 's plan.
j. (x) Open enrollment under the plan of another Employer.
k. (xi) Health Insurance Portability and Accountability Act (HIPAA) special enrollment rights for new dependents and in the case of loss of other insurance Insurance coverage.
l. (xii) A COBRA-qualifying event.
m. (xiii) Loss of coverage under the group health plan of a governmental or educational institution (a State’s 's children’s 's health insurance program, medical care program of an Indian tribal government, State health benefits risk pool, or foreign government group health plan).
n. (xiv) Entitlement to Medicare or Medicaid.
o. (xv) Any other situations in which the group health or dental plan is required by the applicable federal or state law to allow a change in coverage.
Appears in 1 contract
Samples: Master Agreement
Changes Due to a Life Event. After the initial enrollment period and outside of any open enrollment period, an employee may elect to change health or dental coverage (including adding or canceling coverage) and any applicable employee contributions in the following situations (as long as allowed under the applicable provisions, regulations, and rules of the federal and state law in effect at the beginning of the plan year). The request to change coverage must be consistent with a change in status that qualifies as a life event, and does not include changing health or dental plans, which may only be done under the terms of Section 5A E.I above. Any election to add coverage must be made within thirty (30) days following the event, and any election to cancel coverage must be made within sixty (60) days following the event. (An employee and a retired employee may add dependent health or dental coverage following the birth of a child or dependent grandchild, or following the adoption of a child, without regard to the thirty (30) day limit.) These life events (for both employees and retirees) retirees are:
a. (1) A change in legal marital status, including marriage, death of a spouse, divorce, legal separation and annulment.;
b. (2) A change in number of dependents, dependents including birth, death, adoption, and placement for adoption.
c. (3) A change in employment status of the employee, or the employee’s 's or retiree’s spouse 's spouse, or dependent, including termination or commencement of employment, a strike or lockout, a commencement of or return from an unpaid leave of absence, a change in worksite, and a change in working conditions (including changing between part-time and full-time or hourly and salary) of the employee, the employee’s 's or retiree’s 's spouse or dependent which results in a change in the benefits they receive under a cafeteria plan or a health or dental plan.
d. (4) A dependent ceasing to satisfy eligibility requirements for coverage due to attainment of age age, or otherwise no longer meets the eligibility requirements under Section 2C.B(3).
e. (5) A change in the place of residence of the employee, retiree or their spouse spouse, or dependent that is not in the health plan service administrator’s service areadependent.
f. (6) Significant cost or coverage changes (including coverage curtailment and the addition of a benefit package).
g. (7) Family Medical Leave Act (FMLA) leave.
h. (8) Judgments, decrees or orders.
i. (9) A change in coverage of a spouse spouse, or dependent under another Employer’s 's plan.
j. (10) Open enrollment under the plan of another Employer.
k. (11) Health Insurance Portability and Accountability Act (HIPAA) special enrollment rights for new dependents and in the case of loss of other insurance Insurance coverage.
l. (12) A COBRA-qualifying event.
m. (13) Loss of coverage under the group health plan of a governmental or educational institution (a State’s 's children’s 's health insurance program, medical care program of an Indian tribal government, State health benefits risk pool, or foreign government group health plan).
n. (14) Entitlement to Medicare or Medicaid.
o. (15) Any other situations in which the group health or dental plan is required by the applicable federal or state law to allow a change in coverage.
Appears in 1 contract
Samples: Master Agreement
Changes Due to a Life Event. After the initial enrollment period and outside of any open enrollment period, an employee may elect to change health or dental coverage (including adding or canceling coverage) and any applicable employee contributions in the following situations (as long as allowed under the applicable provisions, regulations, and rules of the federal and state sate law in effect at the beginning of the plan year). The request to change coverage must be consistent with a change in status that qualifies as a life event, and does not include changing health or dental plans, which may only be done under the terms of Section 5A E.1 above. Any election to add coverage must be made within thirty (30) days following the event, and any election to cancel coverage must be made within sixty (60) days following the event. (An employee and a retired employee may add dependent health or dental coverage following the birth of a child or dependent grandchild, or following the adoption of a child, without regard to the thirty (30) day limit.) These life events (for both employees and retirees) retirees are:
a. (i) A change in legal marital status, including marriage, death of a spouse, divorce, legal separation and annulment.;
b. (ii) A change in number of dependents, dependents including birth, death, adoption, and placement for adoption.
c. (iii) A change in employment status of the employee, or the employee’s or retiree’s spouse spouse, or dependent, including termination or commencement of employment, a strike or lockout, a commencement of or return from an unpaid leave of absence, a change in worksite, and a change in working conditions (including changing between part-time and full-time or hourly and salary) of the employee, the employee’s or retiree’s spouse or dependent which results in a change in the benefits they receive under a cafeteria plan or a health or dental plan.
d. (iv) A dependent ceasing to satisfy eligibility requirements for coverage due to attainment of age age, student status, marital status, or otherwise no longer meets the eligibility requirements under Section 2C.other similar circumstances.
e. (v) A change in the place of residence of the employee, retiree or their spouse spouse, or dependent that is not in the health plan service administrator’s service areadependent.
f. (vi) Significant cost or coverage changes (including coverage curtailment and the addition of a benefit package).
g. (vii) Family Medical Leave Act (FMLA) leave.
h. (viii) Judgments, decrees or orders.
i. (ix) A change in coverage of a spouse spouse, or dependent under another Employer’s plan.
j. (x) Open enrollment under the plan of another Employer.
k. (xi) Health Insurance Portability and Accountability Act (HIPAA) special enrollment rights for new dependents and in the case of loss of other insurance coverage.
l. (xii) A COBRA-qualifying event.
m. (xiii) Loss of coverage under the group health plan of a governmental or educational institution (a State’s children’s health insurance program, medical care program of an Indian tribal government, State health benefits risk pool, or foreign government group health plan).
n. (xiv) Entitlement to Medicare or Medicaid.
o. (xv) Any other situations in which the group health or dental plan is required by the applicable federal or state law to allow a change in coverage.
Appears in 1 contract
Samples: Master Contract
Changes Due to a Life Event. After the initial enrollment period and outside of any open enrollment period, an employee may elect to change health or dental coverage (including adding or canceling coverage) and any applicable employee contributions in the following situations (as long as allowed under the applicable provisions, regulations, and rules of the federal and state law in effect at the beginning of the plan year). The request to change coverage must be consistent with a change in status that qualifies as a life event, and does not include changing health or dental plans, which may only be done under the terms of Section 5A E.I1 above. Any election to add coverage must be made within thirty (30) days following the event, and any election to cancel coverage must be made within sixty (60) days following the event. (An employee and a retired employee may add dependent health or dental coverage following the birth of a child or dependent grandchild, or following the adoption of a child, without regard to the thirty (30) day limit.) These life events (for both employees and retirees) retirees are:
a. (1) A change in legal marital status, including marriage, death of a spouse, divorce, legal separation and annulment.;
b. (2) A change in number of dependents, dependents including birth, death, adoption, and placement for adoption.
c. (3) A change in employment status of the employee, or the employee’s 's or retiree’s spouse 's spouse, or dependent, including termination or commencement of employment, a strike or lockout, a commencement of or return from an unpaid leave of absence, a change in worksite, and a change in working conditions (including changing between part-time and full-time or hourly and salary) of the employee, the employee’s 's or retiree’s 's spouse or dependent which results in a change in the benefits they receive under a cafeteria plan or a health or dental plan.
d. (4) A dependent ceasing to satisfy eligibility requirements for coverage due to attainment of age age, or otherwise no longer meets the eligibility requirements under Section 2C.B(3).
e. (5) A change in the place of residence of the employee, retiree or their spouse spouse, or dependent that is not in the health plan service administrator’s service areadependent.
f. (6) Significant cost or coverage changes (including coverage curtailment and the addition of a benefit package).
g. (7) Family and Medical Leave Act (FMLA) leave.
h. (8) Judgments, decrees or orders.
i. (9) A change in coverage of a spouse spouse, or dependent under another Employer’s 's plan.
j. (10) Open enrollment under the plan of another Employer.
k. (11) Health Insurance Portability and Accountability Act (HIPAA) special enrollment rights for new dependents and in the case of loss of other insurance Insurance coverage.
l. (12) A COBRA-qualifying event.
m. (13) Loss of coverage under the group health plan of a governmental or educational institution (a State’s 's children’s 's health insurance program, medical care program of an Indian tribal government, State health benefits risk pool, or foreign government group health plan).
n. (14) Entitlement to Medicare or Medicaid.
o. (15) Any other situations in which the group health or dental plan is required by the applicable federal or state law to allow a change in coverage.
Appears in 1 contract
Samples: Master Agreement
Changes Due to a Life Event. After the initial enrollment period and outside of any open enrollment period, an employee a nurse may elect to change health or dental coverage (including adding or canceling coverage) and any applicable employee nurse contributions in the following situations (as long as allowed under the applicable provisions, regulations, and rules of the federal and state law in effect at the beginning of the plan year). The request to change coverage must be consistent with a change in status that qualifies as a life event, and does not include changing health or dental plans, which may only be done under the terms of Section 5A above. Any election to add coverage must be made within thirty (30) days following the event, and any election to cancel coverage must be made within sixty (60) days following the event. (An employee A nurse and a retired employee nurse may add dependent health or dental coverage following the birth of a child or dependent grandchild, or following the adoption of a child, without regard to the thirty (30) day limit.) These life events (for both employees nurses and retirees) are:
a. A change in legal marital status, including marriage, death of a spouse, divorce, legal separation and annulment.
b. A change in number of dependents, including birth, death, adoption, and placement for adoption.
c. A change in employment status of the employeenurse, or the employeenurse’s or retiree’s spouse or dependent, including termination or commencement of employment, a strike or lockout, a commencement of or return from an unpaid leave of absence, a change in worksite, and a change in working conditions (including changing between part-time and full-time or hourly and salary) of the employeenurse, the employeenurse’s or retiree’s spouse or dependent which results in a change in the benefits they receive under a cafeteria plan or a health or dental plan.
d. A dependent ceasing to satisfy eligibility requirements for coverage due to attainment of age age, student status, marital status, or otherwise no longer meets the eligibility requirements under Section 2C.other similar circumstances.
e. A change in the place of residence of the employeenurse, retiree or their spouse or dependent that is not in the health plan service administrator’s service areadependent.
f. Significant cost or coverage changes (including coverage curtailment and the addition of a benefit package).
g. Family Medical Leave Act (FMLA) leave.
h. Judgments, decrees or orders.
i. A change in coverage of a spouse or dependent under another Employer’s plan.
j. Open enrollment under the plan of another Employer.
k. Health Insurance Portability and Accountability Act (HIPAA) special enrollment rights for new dependents and in the case of loss of other insurance coverage.
l. A COBRA-qualifying event.
m. Loss of coverage under the group health plan of a governmental or educational institution (a State’s children’s health insurance program, medical care program of an Indian tribal government, State health benefits risk pool, or foreign government group health plan).
n. Entitlement to Medicare or Medicaid.
o. Any other situations in which the group health or dental plan is required by the applicable federal or state law to allow a change in coverage.
Appears in 1 contract
Samples: Collective Bargaining Agreement
