Continuation of Coverage if you are the dependent child of an Eligible Person. If the coverage of a dependent child should terminate because of the death of the Eligible Person and the dependent child is not eligible to continue coverage under ARTICLE B or the dependent child has reached the limiting age under this Certif icate, the dependent child will be entitled to continue the coverage provided under this Certificate for himself/herself. However, this continuation of coverage option is subject to the following conditions: 1. Continuation will be available to you as the dependent child of an Eligible Person only if you, or a responsible adult acting on your behalf as the depen dent child, provide the employer of the Eligible Person with written notice of the death of the Eligible Person within 30 days of the date the coverage terminates. 2. If continuation of coverage is desired because you have reached the limiting age under this Certificate, you must provide the employer of the Eligible Person with written notice of the attainment of the limiting age within 30 days of the date the coverage terminates. 3. Within 15 days of receipt of such notice, the employer of the Eligible Person will give written notice to the Plan of the death of the Eligible Person or of the dependent child reaching the limiting age, as well as notice of the depen dent child's address. Such notice will include the Group number and the Eligible Person's identification number under this Certificate. Within 30 days of receipt of notice from the employer of the Eligible Person, the Plan will advise you at your residence, by certified mail, return receipt requested, that your coverage under this Certificate may be continued. The Plan's no xxxx to you will include the following: a. a form for election to continue coverage under this Certificate. b. notice of the amount of monthly charges to be paid by you for such continuation of coverage and the method and place of payment. c. instructions for returning the election form within 30 days after the date it is received from the Plan.
Appears in 3 contracts
Samples: Health Care Benefit Program, Health Care Benefit Program, Health Care Benefit Agreement
Continuation of Coverage if you are the dependent child of an Eligible Person. If the coverage of a dependent child should terminate because of the death of the Eligible Person and the dependent child is not eligible to continue coverage under ARTICLE B or the dependent child has reached the limiting age under this Certif icate, the dependent child will be entitled to continue the coverage provided under this Certificate for himself/herself. However, this continuation of coverage option is subject to the following conditions:
1. Continuation will be available to you as the dependent child of an Eligible Person only if you, or a responsible adult acting on your behalf as the depen dent child, provide the employer of the Eligible Person with written notice of the death of the Eligible Person within 30 days of the date the coverage terminates.
2. If continuation of coverage is desired because you have reached the limiting age under this Certificate, you must provide the employer of the Eligible Person with written notice of the attainment of the limiting age within 30 days of the date the coverage terminates.
3. Within 15 days of receipt of such notice, the employer of the Eligible Person will give written notice to the Plan of the death of the Eligible Person or of the dependent child reaching the limiting age, as well as notice of the depen dent child's address. Such notice will include the Group number and the Eligible Person's identification number under this Certificate. Within 30 days of receipt of notice from the employer of the Eligible Person, the Plan will advise you at your residence, by certified mail, return receipt requested, that your coverage under this Certificate may be continued. The Plan's no xxxx to you will include the following:
a. a form for election to continue coverage under this Certificate.
b. notice of the amount of monthly charges to be paid by you for such continuation of coverage and the method and place of payment.
c. instructions for returning the election form within 30 days after the date it is received from the Plan.
4. In the event you, or the responsible adult acting on your behalf as the depen dent child, fail to provide written notice to the Plan within the 30 days specified above, benefits will terminate for you on the date coverage would normally terminate for a dependent child of an Eligible Person under this Certificate as a result of the death of the Eligible Person or the dependent child attaining the limiting age. Your right to continuation of coverage will then be forfeited.
5. If the Plan fails to notify you as specified above, all charges shall be waived from the date such notice was required until the date such notice is sent and benefits shall continue under the terms of this Certificate from the date such notice is sent, except where the benefits in existence at the time of the Plan's notice was to be sent are terminated as to all Eligible Persons under this Cer tificate.
6. The monthly charge will be computed as follows:
a. an amount, if any, that would be charged to you if you were an Eligible Person, plus
b. an amount, if any, that the employer would contribute toward the charge if you were the Eligible Person under this Certificate. Failure to pay the initial monthly charge within 30 days after receipt of no xxxx from the Plan as required in this Article will terminate your continuation benefits and the right to continuation of coverage.
7. Continuation of Coverage shall end on the first to occur of the following:
a. if you fail to make any payment of charges when due (including any grace period specified in the Group Policy).
b. on the date coverage would otherwise terminate under this Certificate if you were still an eligible dependent child of the Eligible Person.
c. the date on which you become an insured employee, after the date of election, under any other group health plan.
d. the expiration of 2 years from the date your continued coverage under this Certificate began.
8. If you exercise the right to continuation of coverage under this Certificate, you shall not be required to pay charges greater than those applicable to any other Eligible Person covered under this Certificate, except as specifically stated in these provisions.
9. Upon termination of your continuation of coverage, you may exercise the privilege to become a member of the Plan on a “direct pay” basis as speci fied in the Conversion Privilege of the ELIGIBILITY section of this Certificate.
10. If this entire Certificate is cancelled and another insurance company con tracts to provide group health insurance at the time your continuation of coverage is in effect, the new insurer must offer continuation of coverage to you under the same terms and conditions described in this Certificate. Other options that may be available for continuation of coverage are explained in the Continuation of Coverage sections of this Certificate.
Appears in 2 contracts
Samples: Health Care Benefit Program, Health Care Benefit Program
Continuation of Coverage if you are the dependent child of an Eligible Person. If the coverage of a dependent child should terminate because of the death of the Eligible Person and the dependent child is not eligible to continue coverage under ARTICLE B or the dependent child has reached the limiting age under this Certif icate, the dependent child will be entitled to continue the coverage provided under this Certificate for himself/herself. However, this continuation of coverage option is subject to the following conditions:
1. Continuation will be available to you as the dependent child of an Eligible Person only if you, or a responsible adult acting on your behalf as the depen dent child, provide the employer of the Eligible Person with written notice of the death of the Eligible Person within 30 days of the date the coverage terminates.
2. If continuation of coverage is desired because you have reached the limiting age under this Certificate, you must provide the employer of the Eligible Person with written notice of the attainment of the limiting age within 30 days of the date the coverage terminates.
3. Within 15 days of receipt of such notice, the employer of the Eligible Person will give written notice to the Plan of the death of the Eligible Person or of the dependent child reaching the limiting age, as well as notice of the depen dent child's address. Such notice will include the Group number and the Eligible Person's identification number under this Certificate. Within 30 days of receipt of notice from the employer of the Eligible Person, the Plan will advise you at your residence, by certified mail, return receipt requested, that your coverage under this Certificate may be continued. The Plan's no xxxx to you will include the following:
a. a form for election to continue coverage under this Certificate.
b. notice of the amount of monthly charges to be paid by you for such continuation of coverage and the method and place of payment.
c. instructions for returning the election form within 30 days after the date it is received from the Plan.
4. In the event you, or the responsible adult acting on your behalf as the depen dent child, fail to provide written notice to the Plan within the 30 days specified above, benefits will terminate for you on the date coverage would normally terminate for a dependent child of an Eligible Person under this Certificate as a result of the death of the Eligible Person or the dependent child attaining the limiting age. Your right to continuation of coverage will then be forfeited.
5. If the Plan fails to notify you as specified above, all charges shall be waived from the date such notice was required until the date such notice is sent and benefits shall continue under the terms of this Certificate from the date such notice is sent, except where the benefits in existence at the time of the Plan's notice was to be sent are terminated as to all Eligible Persons under this Cer tificate.
6. The monthly charge will be computed as follows:
a. an amount, if any, that would be charged to you if you were an Eligible Person, plus
b. an amount, if any, that the employer would contribute toward the charge if you were the Eligible Person under this Certificate. Failure to pay the initial monthly charge within 30 days after receipt of no xxxx from the Plan as required in this Article will terminate your continuation benefits and the right to continuation of coverage.
7. Continuation of Coverage shall end on the first to occur of the following:
a. if you fail to make any payment of charges when due (including any grace period specified in the Group Policy).
b. on the date coverage would otherwise terminate under this Certificate if you were still an eligible dependent child of the Eligible Person.
c. the date on which you become an insured employee, after the date of election, under any other group health plan.
d. the expiration of 2 years from the date your continued coverage under this Certificate began.
8. If you exercise the right to continuation of coverage under this Certificate, you shall not be required to pay charges greater than those applicable to any other Eligible Person covered under this Certificate, except as specifically stated in these provisions.
9. Upon termination of your continuation of coverage, you may exercise the privilege to become a member of the Plan on a “direct pay” basis as speci fied in the Conversion Privilege of the ELIGIBILITY section of this Certificate.
10. If this entire Certificate is cancelled and another insurance company con tracts to provide group health insurance at the time your continuation of coverage is in effect, the new insurer must offer continuation of coverage to you under the same terms and conditions described in this Certificate.
Appears in 1 contract
Samples: Health Care Benefit Program
Continuation of Coverage if you are the dependent child of an Eligible Person. If the coverage of a dependent child should terminate because of the death of the Eligible Person and the dependent child is not eligible to continue coverage under ARTICLE B or the dependent child has reached the limiting age under this Certif icateCerti ficate, the dependent child will be entitled to continue the coverage provided under this Certificate for himself/herself. However, this continuation of coverage option is subject to the following conditions:
1. Continuation will be available to you as the dependent child of an Eligible Person only if you, or a responsible adult acting on your behalf as the depen dent de pendent child, provide the employer of the Eligible Person with written notice of the death of the Eligible Person within 30 days of the date the coverage cov erage terminates.
2. If continuation of coverage is desired because you have reached the limiting age under this Certificate, you must provide the employer of the Eligible Person with written notice of the attainment of the limiting age within 30 days of the date the coverage terminates.
3. Within 15 days of receipt of such notice, the employer of the Eligible Person will give written notice to the Plan of the death of the Eligible Person or of the dependent child reaching the limiting age, as well as notice of the depen dent de pendent child's address. Such notice will include the Group number and the Eligible Person's identification number under this Certificate. Within 30 days of receipt of notice from the employer of the Eligible Person, the Plan will advise you at your residence, by certified mail, return receipt requested, that your coverage under this Certificate may be continued. The Plan's no xxxx to you will include the following:
a. a form for election to continue coverage under this Certificate.
b. notice of the amount of monthly charges to be paid by you for such continuation of coverage and the method and place of payment.
c. instructions for returning the election form within 30 days after the date it is received from the Plan.
4. In the event you, or the responsible adult acting on your behalf as the de pendent child, fail to provide written notice to the Plan within the 30 days specified above, benefits will terminate for you on the date coverage would normally terminate for a dependent child of an Eligible Person under this Certificate as a result of the death of the Eligible Person or the dependent child attaining the limiting age. Your right to continuation of coverage will then be forfeited.
5. If the Plan fails to notify you as specified above, all charges shall be waived from the date such notice was required until the date such notice is sent and benefits shall continue under the terms of this Certificate from the date such notice is sent, except where the benefits in existence at the time of the Plan's notice was to be sent are terminated as to all Eligible Persons under this Cer tificate.
6. The monthly charge will be computed as follows:
a. an amount, if any, that would be charged to you if you were an Eligible Person, plus
b. an amount, if any, that the employer would contribute toward the charge if you were the Eligible Person under this Certificate. Failure to pay the initial monthly charge within 30 days after receipt of no xxxx from the Plan as required in this Article will terminate your continuation benefits and the right to continuation of coverage.
7. Continuation of Coverage shall end on the first to occur of the following:
a. if you fail to make any payment of charges when due (including any grace period specified in the Group Policy).
b. on the date coverage would otherwise terminate under this Certificate if you were still an eligible dependent child of the Eligible Person.
c. the date on which you become an insured employee, after the date of election, under any other group health plan.
d. the expiration of 2 years from the date your continued coverage under this Certificate began.
8. If you exercise the right to continuation of coverage under this Certificate, you shall not be required to pay charges greater than those applicable to any other Eligible Person covered under this Certificate, except as specifically stated in these provisions.
9. Upon termination of your continuation of coverage, you may exercise the privilege to become a member of the Plan on a ``direct pay'' basis as spe cified in the Conversion Privilege of the ELIGIBILITY section of this Certificate.
10. If this entire Certificate is cancelled and another insurance company con tracts to provide group health insurance at the time your continuation of coverage is in effect, the new insurer must offer continuation of coverage to you under the same terms and conditions described in this Certificate. Other options that may be available for continuation of coverage are explained in the Continuation of Coverage sections of this Certificate.
Appears in 1 contract
Samples: Health Care Benefit Program
Continuation of Coverage if you are the dependent child of an Eligible Person. If the coverage of a dependent child should terminate because of the death of the Eligible Person and the dependent child is not eligible to continue coverage under ARTICLE B or the dependent child has reached the limiting age under this Certif icate, the dependent child will be entitled to continue the coverage provided under this Certificate for himself/herself. However, this continuation of coverage option is subject to the following conditions:: GB‐16 HCSC 21
1. Continuation will be available to you as the dependent child of an Eligible Person only if you, or a responsible adult acting on your behalf as the depen dent child, provide the employer of the Eligible Person with written notice of the death of the Eligible Person within 30 days of the date the coverage terminates.
2. If continuation of coverage is desired because you have reached the limiting age under this Certificate, you must provide the employer of the Eligible Person with written notice of the attainment of the limiting age within 30 days of the date the coverage terminates.
3. Within 15 days of receipt of such notice, the employer of the Eligible Person will give written notice to the Plan of the death of the Eligible Person or of the dependent child reaching the limiting age, as well as notice of the depen dent child's address. Such notice will include the Group number and the Eligible Person's identification number under this Certificate. Within 30 days of receipt of notice from the employer of the Eligible Person, the Plan will advise you at your residence, by certified mail, return receipt requested, that your coverage under this Certificate may be continued. The Plan's no xxxx to you will include the following:
a. a form for election to continue coverage under this Certificate.
b. notice of the amount of monthly charges to be paid by you for such continuation of coverage and the method and place of payment.
c. instructions for returning the election form within 30 days after the date it is received from the Plan.
4. In the event you, or the responsible adult acting on your behalf as the depen dent child, fail to provide written notice to the Plan within the 30 days specified above, benefits will terminate for you on the date coverage would normally terminate for a dependent child of an Eligible Person under this Certificate as a result of the death of the Eligible Person or the dependent child attaining the limiting age. Your right to continuation of coverage will then be forfeited.
5. If the Plan fails to notify you as specified above, all charges shall be waived from the date such notice was required until the date such notice is sent and benefits shall continue under the terms of this Certificate from the date such notice is sent, except where the benefits in existence at the time of the Plan's notice was to be sent are terminated as to all Eligible Persons under this Cer tificate.
6. The monthly charge will be computed as follows:
a. an amount, if any, that would be charged to you if you were an Eligible Person, plus
b. an amount, if any, that the employer would contribute toward the charge if you were the Eligible Person under this Certificate. Failure to pay the initial monthly charge within 30 days after receipt of no xxxx from the Plan as required in this Article will terminate your continuation benefits and the right to continuation of coverage. GB‐16 HCSC 22
7. Continuation of Coverage shall end on the first to occur of the following:
a. if you fail to make any payment of charges when due (including any grace period specified in the Group Policy).
b. on the date coverage would otherwise terminate under this Certificate if you were still an eligible dependent child of the Eligible Person.
c. the date on which you become an insured employee, after the date of election, under any other group health plan.
d. the expiration of 2 years from the date your continued coverage under this Certificate began.
8. If you exercise the right to continuation of coverage under this Certificate, you shall not be required to pay charges greater than those applicable to any other Eligible Person covered under this Certificate, except as specifically stated in these provisions.
9. Upon termination of your continuation of coverage, you may exercise the privilege to become a member of the Plan on a “direct pay” basis as speci fied in the Conversion Privilege of the ELIGIBILITY section of this Certificate.
10. If this entire Certificate is cancelled and another insurance company con tracts to provide group health insurance at the time your continuation of coverage is in effect, the new insurer must offer continuation of coverage to you under the same terms and conditions described in this Certificate. Other options that may be available for continuation of coverage are explained in the Continuation of Coverage sections of this Certificate.
Appears in 1 contract
Samples: Health Care Benefit Program
