Common use of CONTINUATION OF COVERAGE RIGHTS Clause in Contracts

CONTINUATION OF COVERAGE RIGHTS. If eligibility for Group coverage ceases upon the death of the Subscriber, a surviving Spouse covered as a Dependent who is fifty (50) years of age or older, has ninety (90) days from the date of the Subscriber's death to notify Company of his election to continue the same coverage for himself, and if already covered, for his Dependent children. • Coverage is automatic during the ninety (90) day election period. Premium is owed for this coverage. If continuation is not chosen, or if premium is not received for the ninety 90 days of automatic coverage, the ninety (90) days of automatic coverage is terminated retroactive to the end of the billing cycle in which the death occurred. • If the continuation coverage is chosen within the ninety (90) day period, coverage will continue without interruption. Premium is owed from the last date for which premium has been paid. No physical exams are required. Premium for continuing coverage will not exceed the premium assessed for each Subscriber by class of coverage under the Group Benefit Plan. The Group will be responsible for notifying the Spouse of the right to continue and for billing and collection of premium. However, if We have been furnished with the home address of the surviving Spouse at the time of death and have been notified by the Group in a manner acceptable to Us of the death of the Subscriber, We will notify the surviving Spouse of the right to continue. Coverage continues on a premium-paying basis until the earliest of: • the date premium is due and is not paid on a timely basis; or • the date the surviving Spouse or a Dependent child becomes eligible for Medicare; or • the date the surviving Spouse or a Dependent child becomes eligible to participate in another Group health plan; or • the date the surviving Spouse remarries or dies; or • the date this Group Benefit Plan ends; or • the date a Dependent child is no longer eligible.

CONTINUATION OF COVERAGE RIGHTS. If eligibility A. State Continuation This section (State Continuation) is available only if the Group is not subject to Continuation of Coverage under the Consolidated Omnibus Budget Reconciliation Act of 1985 and any amendments thereto. A Subscriber or covered Dependent whose coverage under this Contract ends because of: 1) Subscriber’s death; or 2) Subscriber’s termination of active employment; or 3) because of the divorce of the Subscriber or a covered Member, may be entitled to continue the coverage under this Contract. The Subscriber or Dependent requesting continuation must have been continuously covered under this Contract (or another group policy that this Contract replaced) for the three (3) consecutive months immediately preceding the date this coverage would otherwise have ended. Continuation of coverage for a Subscriber or his Dependents is not available if: • the Covered Person, within thirty-one (31) days of termination of coverage, is or could have been covered by other Group coverage ceases upon the death of or a government sponsored health plan such as Medicare or Medicaid, or Group; or • the Subscriber’s or Member’s coverage under this Contract terminated due to fraud or failure to pay his required contribution to premium; or • the Covered Person is eligible for continuation of coverage under COBRA. To elect continuation of coverage under this section, a surviving Spouse covered as a Dependent who is fifty (50) years of age the Subscriber or older, has ninety (90) days from Member must notify the date of the Subscriber's death to notify Company Group in writing of his election to continue this Group health coverage and must pay any required contribution to the same coverage for himself, and if already covered, for his Dependent childrenGroup in advance. • Coverage is automatic during the ninety (90) day election period. Premium is owed for this coverage. If continuation is not chosen, or if premium is not received for the ninety 90 days of automatic coverage, the ninety (90) days of automatic coverage is terminated retroactive to The initial contribution must be paid no later than the end of the billing cycle month following the month in which the death occurredevent occurred which made the Subscriber or Member eligible. • (If the continuation Dependent is eligible due to divorce, the event shall be deemed to have occurred on the date of the judgment of divorce.) A form to continue coverage is chosen within the ninety (90) day period, coverage will continue without interruption. Premium is owed available from the last date for which premium has been paidGroup. No physical exams are required. Premium for continuing coverage will not exceed the premium assessed for each Subscriber by class Continuation of coverage insurance under the Group Benefit Plan. The Group will be responsible policy for notifying any Covered Person shall terminate on the Spouse earliest of the right to continue and for billing and collection of premium. However, if We following dates: • twelve (12) calendar months from the date coverage would have been furnished with the home address of the surviving Spouse at the time of death and have been notified by the Group in a manner acceptable to Us of the death of the Subscriber, We will notify the surviving Spouse of the right to continue. Coverage continues on a premium-paying basis until the earliest of: otherwise ended; or • the date ending the period for which the Subscriber or Dependent makes his last required premium is due and is not paid on a timely basiscontribution for the coverage; or • the date the surviving Spouse Subscriber or Member becomes or is eligible to become covered for similar benefits under any arrangement of coverage for individuals in a Dependent child becomes eligible for MedicareGroup, whether insured or uninsured, including Medicare of Medicaid; or • the date on which the surviving Spouse or a Dependent child becomes eligible to participate in another Group health planpolicy is terminated; or • the date on which an enrolled Member of a health maintenance organization legally resides outside the surviving Spouse remarries or dies; or • service area of the date this Group Benefit Plan ends; or • the date a Dependent child is no longer eligibleCompany.

CONTINUATION OF COVERAGE RIGHTS. If eligibility State Continuation This section (State Continuation) is available only if the Group is not subject to Continuation of Coverage under the Consolidated Omnibus Budget Reconciliation Act of 1985 and any amendments thereto. A Subscriber or covered Dependent whose coverage under this Contract ends because of: 1) Subscriber’s death; or 2) Subscriber’s termination of active employment; or 3) because of the divorce of the Subscriber or a covered Member, may be entitled to continue the coverage under this Contract. The Subscriber or Dependent requesting continuation must have been continuously covered under this Contract (or another group policy that this Contract replaced) for the three (3) consecutive months immediately preceding the date this coverage would otherwise have ended. Continuation of coverage for a Subscriber or his Dependents is not available if: • the Covered Person, within thirty-one (31) days of termination of coverage, is or could have been covered by other Group coverage ceases upon the death of or a government sponsored health plan such as Medicare or Medicaid, or Group; or • the Subscriber’s or Member’s coverage under this Contract terminated due to fraud or failure to pay his required contribution to premium; or • the Covered Person is eligible for continuation of coverage under COBRA. To elect continuation of coverage under this section, a surviving Spouse covered as a Dependent who is fifty (50) years of age the Subscriber or older, has ninety (90) days from Member must notify the date of the Subscriber's death to notify Company Group in writing of his election to continue this Group health coverage and must pay any required contribution to the same coverage for himself, and if already covered, for his Dependent childrenGroup in advance. • Coverage is automatic during the ninety (90) day election period. Premium is owed for this coverage. If continuation is not chosen, or if premium is not received for the ninety 90 days of automatic coverage, the ninety (90) days of automatic coverage is terminated retroactive to The initial contribution must be paid no later than the end of the billing cycle month following the month in which the death occurredevent occurred which made the Subscriber or Member eligible. • (If the continuation Dependent is eligible due to divorce, the event shall be deemed to have occurred on the date of the judgment of divorce.) A form to continue coverage is chosen within the ninety (90) day period, coverage will continue without interruption. Premium is owed available from the last date for which premium has been paidGroup. No physical exams are required. Premium for continuing coverage will not exceed the premium assessed for each Subscriber by class Continuation of coverage insurance under the Group Benefit Plan. The Group will be responsible policy for notifying any Covered Person shall terminate on the Spouse earliest of the right to continue and for billing and collection of premium. However, if We following dates:‌‌ • twelve (12) calendar months from the date coverage would have been furnished with the home address of the surviving Spouse at the time of death and have been notified by the Group in a manner acceptable to Us of the death of the Subscriber, We will notify the surviving Spouse of the right to continue. Coverage continues on a premium-paying basis until the earliest of: otherwise ended; or • the date ending the period for which the Subscriber or Dependent makes his last required premium is due and is not paid on a timely basiscontribution for the coverage; or • the date the surviving Spouse Subscriber or Member becomes or is eligible to become covered for similar benefits under any arrangement of coverage for individuals in a Dependent child becomes eligible for MedicareGroup, whether insured or uninsured, including Medicare of Medicaid; or • the date on which the surviving Spouse or a Dependent child becomes eligible to participate in another Group health planpolicy is terminated; or • the date on which an enrolled Member of a health maintenance organization legally resides outside the surviving Spouse remarries or dies; or • service area of the date this Group Benefit Plan ends; or • the date a Dependent child is no longer eligibleCompany.

CONTINUATION OF COVERAGE RIGHTS. If eligibility for Group coverage ceases upon the death of the Subscriber, a surviving Spouse covered as a Dependent who is fifty (50) years of age or older, has ninety (90) days from the date of the Subscriber's death to notify Company of his election to continue the same coverage for himself, and if already covered, for his Dependent children. •  Coverage is automatic during the ninety (90) day election period. Premium is owed for this coverage. If continuation is not chosen, or if premium is not received for the ninety 90 days of automatic coverage, the ninety (90) days of automatic coverage is terminated retroactive to the end of the billing cycle in which the death occurred. •  If the continuation coverage is chosen within the ninety (90) day period, coverage will continue without interruption. Premium is owed from the last date for which premium has been paid. No physical exams are required. Premium for continuing coverage will not exceed the premium assessed for each Subscriber by class of coverage under the Group Benefit Plan. The Group will be responsible for notifying the Spouse of the right to continue and for billing and collection of premium. However, if We have been furnished with the home address of the surviving Spouse at the time of death and have been notified by the Group in a manner acceptable to Us of the death of the Subscriber, We will notify the surviving Spouse of the right to continue. Coverage continues on a premium-paying basis until the earliest of: •  the date premium is due and is not paid on a timely basis; or •  the date the surviving Spouse or a Dependent child becomes eligible for Medicare; or •  the date the surviving Spouse or a Dependent child becomes eligible to participate in another Group health plan; or •  the date the surviving Spouse remarries or dies; or •  the date this Group Benefit Plan ends; or •  the date a Dependent child is no longer eligible.

CONTINUATION OF COVERAGE RIGHTS. If eligibility A. State Continuation This section (State Continuation) is available only if the Group is not subject to Continuation of Coverage under the Consolidated Omnibus Budget Reconciliation Act of 1985 and any amendments thereto. A Subscriber or covered Dependent whose coverage under this Contract ends because of: 1) Subscriber’s death; or 2) Subscriber’s termination of active employment; or 3) because of the divorce of the Subscriber or a covered Member, may be entitled to continue the coverage under this Contract. The Subscriber or Dependent requesting continuation must have been continuously covered under this Contract (or another group policy that this Contract replaced) for the three (3) consecutive months immediately preceding the date this coverage would otherwise have ended. Continuation of coverage for a Subscriber or his Dependents is not available if:  the Covered Person, within thirty-one (31) days of termination of coverage, is or could have been covered by other Group coverage ceases upon the death of or a government sponsored health plan such as Medicare or Medicaid, or Group; or  the Subscriber’s or Member’s coverage under this Contract terminated due to fraud or failure to pay his required contribution to premium; or  the Covered Person is eligible for continuation of coverage under COBRA. To elect continuation of coverage under this section, a surviving Spouse covered as a Dependent who is fifty (50) years of age the Subscriber or older, has ninety (90) days from Member must notify the date of the Subscriber's death to notify Company Group in writing of his election to continue this Group health coverage and must pay any required contribution to the same coverage for himself, and if already covered, for his Dependent childrenGroup in advance. • Coverage is automatic during the ninety (90) day election period. Premium is owed for this coverage. If continuation is not chosen, or if premium is not received for the ninety 90 days of automatic coverage, the ninety (90) days of automatic coverage is terminated retroactive to The initial contribution must be paid no later than the end of the billing cycle month following the month in which the death occurredevent occurred which made the Subscriber or Member eligible. • (If the continuation Dependent is eligible due to divorce, the event shall be deemed to have occurred on the date of the judgment of divorce.) A form to continue coverage is chosen within the ninety (90) day period, coverage will continue without interruption. Premium is owed available from the last date for which premium has been paid. No physical exams are required. Premium for continuing coverage will not exceed the premium assessed for each Subscriber by class Group.‌‌ Continuation of coverage insurance under the Group Benefit Plan. The Group will be responsible policy for notifying any Covered Person shall terminate on the Spouse earliest of the right to continue and for billing and collection of premium. However, if We have been furnished with the home address of the surviving Spouse at the time of death and have been notified by the Group in a manner acceptable to Us of the death of the Subscriber, We will notify the surviving Spouse of the right to continue. Coverage continues on a premium-paying basis until the earliest offollowing dates: •  twelve (12) calendar months from the date premium is due and is not paid on a timely basiscoverage would have otherwise ended; or •  the date ending the period for which the Subscriber or Dependent makes his last required premium contribution for the coverage; or  the date the surviving Spouse Subscriber or Member becomes or is eligible to become covered for similar benefits under any arrangement of coverage for individuals in a Dependent child becomes eligible for MedicareGroup, whether insured or uninsured, including Medicare of Medicaid; or •  the date on which the surviving Spouse or a Dependent child becomes eligible to participate in another Group health planpolicy is terminated; or •  the date on which an enrolled Member of a health maintenance organization legally resides outside the surviving Spouse remarries or dies; or • service area of the date this Group Benefit Plan ends; or • the date a Dependent child is no longer eligibleCompany.

CONTINUATION OF COVERAGE RIGHTS. If eligibility A. State Continuation This section (State Continuation) is available only if the Group is not subject to Continuation of Coverage under the Consolidated Omnibus Budget Reconciliation Act of 1985 and any amendments thereto. A Subscriber or covered Dependent whose coverage under this Contract ends because of: 1) Subscriber’s death; or 2) Subscriber’s termination of active employment; or 3) because of the divorce of the Subscriber or a covered Member, may be entitled to continue the coverage under this Contract. The Subscriber or Dependent requesting continuation must have been continuously covered under this Contract (or another group policy that this Contract replaced) for the three (3) consecutive months immediately preceding the date this coverage would otherwise have ended. Continuation of coverage for a Subscriber or his Dependents is not available if:  the Covered Person, within thirty-one (31) days of termination of coverage, is or could have been covered by other Group coverage ceases upon the death of or a government sponsored health plan such as Medicare or Medicaid, or Group; or  the Subscriber’s or Member’s coverage under this Contract terminated due to fraud or failure to pay his required contribution to premium; or‌‌  the Covered Person is eligible for continuation of coverage under COBRA. To elect continuation of coverage under this section, a surviving Spouse covered as a Dependent who is fifty (50) years of age the Subscriber or older, has ninety (90) days from Member must notify the date of the Subscriber's death to notify Company Group in writing of his election to continue this Group health coverage and must pay any required contribution to the same coverage for himself, and if already covered, for his Dependent childrenGroup in advance. • Coverage is automatic during the ninety (90) day election period. Premium is owed for this coverage. If continuation is not chosen, or if premium is not received for the ninety 90 days of automatic coverage, the ninety (90) days of automatic coverage is terminated retroactive to The initial contribution must be paid no later than the end of the billing cycle month following the month in which the death occurredevent occurred which made the Subscriber or Member eligible. • (If the continuation Dependent is eligible due to divorce, the event shall be deemed to have occurred on the date of the judgment of divorce.) A form to continue coverage is chosen within the ninety (90) day period, coverage will continue without interruption. Premium is owed available from the last date for which premium has been paidGroup. No physical exams are required. Premium for continuing coverage will not exceed the premium assessed for each Subscriber by class Continuation of coverage insurance under the Group Benefit Plan. The Group will be responsible policy for notifying any Covered Person shall terminate on the Spouse earliest of the right to continue and for billing and collection of premium. However, if We have been furnished with the home address of the surviving Spouse at the time of death and have been notified by the Group in a manner acceptable to Us of the death of the Subscriber, We will notify the surviving Spouse of the right to continue. Coverage continues on a premium-paying basis until the earliest offollowing dates: •  twelve (12) calendar months from the date premium is due and is not paid on a timely basiscoverage would have otherwise ended; or •  the date ending the period for which the Subscriber or Dependent makes his last required premium contribution for the coverage; or  the date the surviving Spouse Subscriber or Member becomes or is eligible to become covered for similar benefits under any arrangement of coverage for individuals in a Dependent child becomes eligible for MedicareGroup, whether insured or uninsured, including Medicare of Medicaid; or •  the date on which the surviving Spouse or a Dependent child becomes eligible to participate in another Group health planpolicy is terminated; or •  the date on which an enrolled Member of a health maintenance organization legally resides outside the surviving Spouse remarries or dies; or • service area of the date this Group Benefit Plan ends; or • the date a Dependent child is no longer eligibleCompany.

CONTINUATION OF COVERAGE RIGHTS. If eligibility A. State Continuation This section (State Continuation) is available only if the Group is not subject to Continuation of Coverage under the Consolidated Omnibus Budget Reconciliation Act of 1985 and any amendments thereto. A Subscriber or covered Dependent whose coverage under this Contract ends because of: 1) Subscriber’s death; or 2) Subscriber’s termination of active employment; or 3) because of the divorce of the Subscriber or a covered Member, may be entitled to continue the coverage under this Contract. The Subscriber or Dependent requesting continuation must have been continuously covered under this Contract (or another group policy that this Contract replaced) for the three (3) consecutive months immediately preceding the date this coverage would otherwise have ended. Continuation of coverage for a Subscriber or his Dependents is not available if:  the Covered Person, within thirty-one (31) days of termination of coverage, is or could have been covered by other Group coverage ceases upon the death of or a government sponsored health plan such as Medicare or Medicaid, or Group; or  the Subscriber’s or Member’s coverage under this Contract terminated due to fraud or failure to pay his required contribution to premium; or  the Covered Person is eligible for continuation of coverage under COBRA. To elect continuation of coverage under this section, a surviving Spouse covered as a Dependent who is fifty (50) years of age the Subscriber or older, has ninety (90) days from Member must notify the date of the Subscriber's death to notify Company Group in writing of his election to continue this Group health coverage and must pay any required contribution to the same coverage for himself, and if already covered, for his Dependent childrenGroup in advance. • Coverage is automatic during the ninety (90) day election period. Premium is owed for this coverage. If continuation is not chosen, or if premium is not received for the ninety 90 days of automatic coverage, the ninety (90) days of automatic coverage is terminated retroactive to The initial contribution must be paid no later than the end of the billing cycle month following the month in which the death occurredevent occurred which made the Subscriber or Member eligible. • (If the continuation Dependent is eligible due to divorce, the event shall be deemed to have occurred on the date of the judgment of divorce.) A form to continue coverage is chosen within the ninety (90) day period, coverage will continue without interruption. Premium is owed available from the last date for which premium has been paidGroup. No physical exams are required. Premium for continuing coverage will not exceed the premium assessed for each Subscriber by class Continuation of coverage insurance under the Group Benefit Plan. The Group will be responsible policy for notifying any Covered Person shall terminate on the Spouse earliest of the right to continue and for billing and collection of premium. However, if We have been furnished with the home address of the surviving Spouse at the time of death and have been notified by the Group in a manner acceptable to Us of the death of the Subscriber, We will notify the surviving Spouse of the right to continue. Coverage continues on a premium-paying basis until the earliest offollowing dates: •  twelve (12) calendar months from the date premium is due and is not paid on a timely basiscoverage would have otherwise ended; or •  the date ending the period for which the Subscriber or Dependent makes his last required premium contribution for the coverage; or  the date the surviving Spouse Subscriber or Member becomes or is eligible to become covered for similar benefits under any arrangement of coverage for individuals in a Dependent child becomes eligible for MedicareGroup, whether insured or uninsured, including Medicare of Medicaid; or •  the date on which the surviving Spouse or a Dependent child becomes eligible to participate in another Group health planpolicy is terminated; or •  the date on which an enrolled Member of a health maintenance organization legally resides outside the surviving Spouse remarries or dies; or • service area of the date this Group Benefit Plan ends; or • the date a Dependent child is no longer eligibleCompany.