Common use of Continuation of Health Benefits Coverage Clause in Contracts

Continuation of Health Benefits Coverage. ‌ An employee who is entitled to continued benefit coverage as specified in Section 15.6 (Health Benefits During Leaves of Absence - Non-Medical Leaves Without Pay) and Section 15.7 (Medical/ Pregnancy Disability Leave) above, must notify the ACTTC no later than five (5) County business days after the first day of the leave of absence, of the employee's intent to continue insurance coverage. A request for Leave of Absence (without pay) form signed by the employee and his/her Department shall be forwarded to the ACTTC’s office when leave is authorized. To assure continued insurance coverage, premiums shall be paid by the employee to the ACTTC’s Office no later than the last day of the pay period or the date specified in the notice. If the employee fails to pay the premium by the due date, he/she will receive one (1) reminder notice. In order to prevent a lapse in coverage due to non- payment, the employee shall pay a $25.00 late charge in addition to the premium amount due by the date specified in the reminder notice. Only one reminder notice will be sent. If the employee fails to make proper payment within 30 days of the first due date, the employee's medical, dental, vision, life insurance, and Long Term Disability coverage shall be terminated. Coverage will not be reinstated until the first of the month following return to pay status.

Continuation of Health Benefits Coverage. ‌ An employee employee, who is entitled to continued benefit coverage as specified in Section 15.6 (Health Benefits During Leaves of Absence - Non-Medical Leaves Without Pay) and Section 15.7 (Medical/ Pregnancy Disability Leave) aboveArticle 5.6 or 5.6.1, must notify the ACTTC Auditor Controller-Treasurer-Tax Collector (ACTTC) no later than five (5) County business days after the first (1st) day of the leave of absence, of the employee's intent to continue insurance coverage. A request The employee must apply for a leave by completing a Leave of Absence (without pay) form signed by Form. If the employee and his/her Department authorizes the leave, the Department shall be forwarded forward the completed Leave of Absence Form to the ACTTC’s office when leave is authorizedOffice. To assure continued insurance coverage, premiums shall be paid by the employee to the ACTTC’s Office office no later than the last day of the pay period or the date specified in the noticeperiod. If the employee fails to pay the premium by the due datelast day of the pay period, he/she will receive one (1) reminder notice. In order to prevent a lapse in coverage due to non- paymentreinstate coverage, the employee shall pay a $25.00 late charge in addition to the premium amount due by the date specified in the reminder notice. Only one (1) reminder notice will be sent. If the employee fails to make proper payment within 30 days to the ACTTC by the end of the first due datesecond (2nd) pay period, the employee's continued medical, dental, vision, life insurance, insurance and Long Term Disability LTD coverage shall be terminated. Coverage will not be reinstated until the first of the month following return to pay status.

Continuation of Health Benefits Coverage. ‌ An employee who is entitled to continued benefit coverage as specified in Section 15.6 18.6 (Health Benefits During Leaves of Absence - Non-Medical Leaves Without Pay) and Section 15.7 18.7 (Medical/ Pregnancy Disability Leave) above, must notify the ACTTC no later than five (5) County business days after the first day of the leave of absence, of the employee's intent to continue insurance coverage. A request The employee must apply for a leave by completing a Leave of Absence (without pay) form signed by Form. If the employee and his/her Department authorizes the leave, the Department shall be forwarded forward the completed Leave of Absence Form to the ACTTC’s office when leave is authorizedOffice. To assure continued insurance coverage, premiums shall be paid by the employee to the ACTTC’s Office no later than the last day of the pay period or the date specified in the noticeperiod. If the employee fails to pay the premium by the due datelast day of the pay period, he/she will receive one (1) reminder notice. In order to prevent a lapse in coverage due to non- paymentreinstate coverage, the employee shall pay a twenty-five dollar ($25.00 25.00) late charge in addition to the premium amount due by the date specified in the reminder notice. Only one reminder notice will be sent. If the employee fails to make proper payment within 30 days to the ACTTC by the end of the first due datesecond pay period, the employee's continued medical, dental, vision, life insurance, and Long Term Disability coverage shall be terminated. Coverage will not be reinstated until the first of the month following return to pay status.

Continuation of Health Benefits Coverage. ‌ An employee who is entitled to continued benefit coverage as specified in Section 15.6 Section 6.1 (Health Benefits During Leaves of Absence - NonBenefits-Medical Leaves Without Pay) and Section 15.7 (Medical/ Medical/Pregnancy Disability Leave) aboveLeave -), must notify the ACTTC Auditor- Controller-Treasurer-Tax Collector’s Office (ACTTC) no later than five (5) County business days after the first day of the leave of absence, of the employee's ’s intent to continue insurance coverage. A request Request for Leave of Absence (without pay) form signed by the employee and his/her Department appointing authority shall be forwarded to the ACTTC’s office Office when leave is authorized. To assure continued insurance coverage, premiums shall be paid by the employee to the ACTTC’s Office no later than the last day of the pay period or the date specified in the notice. If the employee fails to pay the premium by the due date, he/she will receive one (1) reminder notice. In order to prevent a lapse in coverage due to non- non-payment, the employee shall pay a $25.00 late charge in addition to the premium amount due by the date specified in the reminder notice. Only one (1) reminder notice will be sent. If the employee fails to make proper payment within 30 days of the first due date, the employee's ’s continued medical, dental, vision, life insurance, insurance and Long Term Disability LTD coverage shall be terminated. Coverage will not be reinstated until the first 1st of the month following return to pay paid status.

Continuation of Health Benefits Coverage. ‌ An employee who is entitled to continued County paid benefit coverage as specified in Section 15.6 (Health Benefits During Leaves of Absence - Non-Medical Leaves Without Pay) 5.6 and Section 15.7 (Medical/ Pregnancy Disability Leave) above5.6.1, must notify the ACTTC Auditor-Controller-Treasurer-Tax Collector’s Office (ACTTC) no later than five (5) County business days after the first day of the leave of absence, of the employee's ’s intent to continue insurance coveragetheir participation in their County offered health plans. A request Request for Leave of Absence (without pay) form signed by the employee and his/her Department appointing authority shall be forwarded to the ACTTC’s office when leave is authorizedACTTC Office two weeks in advance of the first day of absence. To assure continued insurance coverage, premiums shall be paid by the employee to the ACTTC’s Office office no later than the last day of the pay period. This premium provides coverage for the two-week period or from the date specified in the noticenext pay date. If the employee fails to pay the premium by the due datelast day of the pay period, he/she will receive one (1) reminder notice. In order to prevent a lapse in coverage due to non- paymentreinstate coverage, the employee shall pay a $25.00 late charge in addition to the premium amount due by the date specified in the reminder notice. Only one reminder notice will be sentsent to the employee. If the employee fails to make proper payment within 30 days to the ACTTC by the end of the first due datesecond pay period, the employee's ’s continued medical, dental, vision, life insurance, insurance and Long Term Disability long-term disability coverage shall be terminated. Coverage will not be reinstated until the first of the month following return to pay status.

Continuation of Health Benefits Coverage. ‌ ‌‌ An employee who is entitled to continued County paid benefit coverage as specified in Section 15.6 (Health Benefits During Leaves of Absence - Non-Medical Leaves Without Pay) 5.6 and Section 15.7 (Medical/ Pregnancy Disability Leave) above5.6.1, must notify the ACTTC Auditor-Controller-Treasurer-Tax Collector’s Office (ACTTC) no later than five (5) County business days after the first day of the leave of absence, of the employee's ’s intent to continue insurance coveragetheir participation in their County offered health plans. A request Request for Leave of Absence (without pay) form signed by the employee and his/her Department appointing authority shall be forwarded to the ACTTC’s office when leave is authorizedACTTC Office two weeks in advance of the first day of absence. To assure continued insurance coverage, premiums shall be paid by the employee to the ACTTC’s Office office no later than the last day of the pay period or the date specified in the noticeperiod. If the employee fails to pay the premium by the due datelast day of the pay period, he/she will receive one (1) reminder notice. In order to prevent a lapse in coverage due to non- paymentreinstate coverage, the employee shall pay a $25.00 late charge in addition to the premium amount due by the date specified in the reminder notice. Only one (1) reminder notice will be sentsent to the employee. If the employee fails to make proper payment within 30 days to the ACTTC by the end of the first due datesecond pay period, the employee's ’s continued medical, dental, vision, life insurance, insurance and Long Long-Term Disability coverage shall be terminated. Coverage will not be reinstated until the first of the month following return to pay status.

Continuation of Health Benefits Coverage. ‌ An employee who is entitled to continued benefit coverage as specified in Section 15.6 (Health Benefits During Leaves of Absence - Non-Medical Leaves Without Pay) and Section 15.7 (Medical/ Pregnancy Disability Leave) above, must notify the ACTTC no later than five (5) County business days after the first day of the leave of absence, of the employee's intent to continue insurance coverage. A request for Leave of Absence (without pay) form signed by the employee and his/her Department shall be forwarded to the ACTTC’s office when leave is authorized. To assure continued insurance coverage, premiums shall be paid by the employee to the ACTTC’s Office no later than the last day of the pay period or the date specified in the notice. If the employee fails to pay the premium by the due date, he/she will receive one (1) reminder notice. In order to prevent a lapse in coverage due to non- payment, the employee shall pay a $25.00 late charge in addition to the premium amount due by the date specified in the reminder notice. Only one reminder notice will be sent. If the employee fails to make proper payment within 30 days of the first due date, the employee's medical, dental, vision, life insurance, and Long Term Disability coverage shall be terminated. Coverage will not be reinstated until the first of the month following return to pay statusstatus once a completed and signed Employee Benefit Enrollment/Change form is received by Human Resources Benefits Unit within 31-days of the return from leave.

Continuation of Health Benefits Coverage. ‌ ‌‌ An employee who is entitled to continued benefit coverage as specified in Section 15.6 (Health Benefits During Leaves of Absence - Non-Medical Leaves Without Pay) and Section 15.7 (Medical/ Pregnancy Disability Leave) above, must notify the ACTTC no later than five (5) County business days after the first day of the leave of absence, of the employee's intent to continue insurance coverage. A request for Leave of Absence (without pay) form signed by the employee and his/her Department shall be forwarded to the ACTTC’s office when leave is authorized. To assure continued insurance coverage, premiums shall be paid by the employee to the ACTTC’s Office no later than the last day of the pay period or the date specified in the notice. If the employee fails to pay the premium by the due date, he/she will receive one (1) reminder notice. In order to prevent a lapse in coverage due to non- payment, the employee shall pay a $25.00 late charge in addition to the premium amount due by the date specified in the reminder notice. Only one reminder notice will be sent. If the employee fails to make proper payment within 30 days of the first due date, the employee's medical, dental, vision, life insurance, and Long Term Disability coverage shall be terminated. Coverage will not be reinstated until the first of the month following return to pay status.status.‌

Continuation of Health Benefits Coverage. ‌ An employee who is entitled to continued benefit coverage as specified in Section 15.6 9.9 (Medical/Pregnancy Disability Leave) and 9.8 (Health Benefits During Leaves of Absence - Absence-Non-Medical Leaves Without Pay) and Section 15.7 (Medical/ Pregnancy Disability Leave) above, must notify the ACTTC Auditor-Controller- Treasurer-Tax Collector (ACTTC) no later than five (5) County business days after the first day of the leave of absence, of the employee's intent to continue insurance coverage. A request Request for Leave of Absence (without pay) form signed by the employee and his/her Department appointing authority shall be forwarded to the ACTTC’s office Office when leave is authorized. To assure continued insurance coverage, premiums shall be paid by the employee to the ACTTC’s 's Office no later than the last day of the pay period or the date specified in the noticeperiod. If the employee fails to pay the premium by the due datelast day of the pay period, he/she will receive one (1) reminder notice. In order to prevent a lapse in coverage due to non- paymentreinstate coverage, the employee shall pay a $25.00 late charge in addition to the premium amount due by the date specified in the reminder notice. Only one reminder notice will be sent. If the employee fails to make proper payment within 30 days to the ACTTC by the end of the first due datesecond pay period, the employee's continued medical, dental, vision, life insurance, and Long Term Disability LTD coverage shall be terminated. Coverage will not be reinstated until the first of the month following return to pay status.

Continuation of Health Benefits Coverage. ‌ An employee who is entitled to continued benefit coverage as specified in Section 15.6 18.6 (Health Benefits During Leaves of Absence - Non-Medical Leaves Without Pay) and Section 15.7 18.7 (Medical/ Pregnancy Disability Leave) above, must notify the ACTTC no later than five (5) County business days after the first day of the leave of absence, of the employee's intent to continue insurance coverage. A request for Leave of Absence (without pay) form signed by the employee and his/her Department appointing authority shall be forwarded to the ACTTC’s office when leave is authorized. To assure continued insurance coverage, premiums shall be paid by the employee to the ACTTC’s Office no later than the last day of the pay period or the date specified in the notice. If the employee fails to pay the premium by the due date, he/she will receive one (1) reminder notice. In order to prevent a lapse in coverage due to non- non­ payment, the employee shall pay a twenty-five dollar ($25.00 25.00) late charge in addition to the premium amount due by the date specified in the reminder notice. Only one reminder notice will be sent. If the employee fails to make proper payment within 30 days of the first due date, the employee's medical, dental, vision, life insurance, and Long Term Disability coverage shall be terminated. Coverage will not be reinstated until the first of the month following return to pay status.

Continuation of Health Benefits Coverage. ‌ An employee who is entitled to continued benefit coverage as specified in Section 15.6 (Health Benefits During Leaves of Absence - Non-Medical Leaves Without Pay) and Section 15.7 (Medical/ Pregnancy Disability Leave) above, must notify the ACTTC no later than five (5) County business days after the first day of the leave of absence, of the employee's intent to continue insurance coverage. A request for Leave of Absence (without pay) form signed by the employee and his/her Department shall be forwarded to the ACTTC’s office when leave is authorized. To assure continued insurance coverage, premiums shall be paid by the employee to the ACTTC’s Office no later than the last day of the pay period or the date specified in the notice. If the employee fails to pay the premium by the due date, he/she will receive one (1) reminder notice. In order to prevent a lapse in coverage due to non- payment, the employee shall pay a $25.00 late charge in addition to the premium amount due by the date specified in the reminder notice. Only one reminder notice will be sent. If the employee fails to make proper payment within 30 days of the first due date, the employee's medical, dental, vision, life insurance, and Long Term Disability coverage shall be terminated. Coverage will not be reinstated until the first of the month following return to pay status.

Continuation of Health Benefits Coverage. ‌ An employee who is entitled to continued benefit coverage as specified in Section 15.6 17.6 (Health Benefits During Leaves of Absence - Non-Medical Leaves Without Pay) and Section 15.7 17.7 (Medical/ Pregnancy Disability Leave) above, must notify the ACTTC no later than five (5) County business days after the first day of the leave of absence, of the employee's intent to continue insurance coverage. A request Request for Leave of Absence (without pay) form signed by the employee and his/her Department appointing authority shall be forwarded to the ACTTC’s office Office when leave is authorized. To assure continued insurance coverage, premiums shall be paid by the employee to the ACTTC’s Office no later than the last day of the pay period or the date specified in the noticeperiod. If the employee fails to pay the premium by the due datelast day of the pay period, he/she will receive one (1) reminder notice. In order to prevent a lapse in coverage due to non- paymentreinstate coverage, the employee shall pay a $25.00 late charge in addition to the premium amount due by the date specified in the reminder notice. Only one reminder notice will be sent. If the employee fails to make proper payment within 30 days to the ACTTC by the end of the first due datesecond pay period, the employee's continued medical, dental, vision, life insurance, and Long Term Disability LTD coverage shall be terminated. Coverage will not be reinstated until the first of the month following return to pay status.

Continuation of Health Benefits Coverage. ‌ An employee who is entitled to continued benefit coverage as specified in Section 15.6 17.6 (Health Benefits During Leaves of Absence - Non-Medical Leaves Without Pay) and Section 15.7 17.7 (Medical/ Pregnancy Disability Leave) above, must notify the ACTTC no later than five (5) County business days after the first day of the leave of absence, of the employee's intent to continue insurance coverage. A request The employee must apply for a leave by completing a Leave of Absence (without pay) form signed by Form. If the employee and his/her Department authorizes the leave, the Department shall be forwarded forward the completed Leave of Absence Form to the ACTTC’s office when leave is authorizedOffice. To assure continued insurance coverage, premiums shall be paid by the employee to the ACTTC’s Office no later than the last day of the pay period or the date specified in the noticeperiod. If the employee fails to pay the premium by the due datelast day of the pay period, he/she will receive one (1) reminder notice. In order to prevent a lapse in coverage due to non- paymentreinstate coverage, the employee shall pay a $25.00 late charge in addition to the premium amount due by the date specified in the reminder notice. Only one reminder notice will be sent. If the employee fails to make proper payment within 30 days to the ACTTC by the end of the first due datesecond pay period, the employee's continued medical, dental, vision, life insurance, and Long Term Disability coverage shall be terminated. Coverage will not be reinstated until the first of the month following return to pay status.

Continuation of Health Benefits Coverage. ‌ An employee employee, who is entitled to continued benefit coverage as specified in Section 15.6 (Health Benefits During Leaves of Absence - Non-Medical Leaves Without Pay) 18.6 and Section 15.7 (Medical/ Pregnancy Disability Leave) above18.6.1, must notify the ACTTC Auditor-Controller-Treasurer-Tax Collector (ACTTC) no later than five (5) County business days after the first (1st) day of the leave of absence, of the employee's intent to continue insurance coverage. A request The employee must apply for a leave by completing a Leave of Absence (without pay) form signed by Form. If the employee and his/her Department authorizes the leave, the Department shall be forwarded forward the completed Leave of Absence Form to the ACTTC’s office when leave is authorizedOffice. To assure continued insurance coverage, premiums shall be paid by the employee to the ACTTC’s Office office no later than the last day of the pay period or the date specified in the noticeperiod. If the employee fails to pay the premium by the due datelast day of the pay period, he/she will receive one (1) reminder notice. In order to prevent a lapse in coverage due to non- paymentreinstate coverage, the employee shall pay a $25.00 late charge in addition to the premium amount due by the date specified in the reminder notice. Only one (1) reminder notice will be sent. If the employee fails to make proper payment within 30 days to the ACTTC by the end of the first due datesecond (2nd) pay period, the employee's continued medical, dental, vision, life insurance, insurance and Long Long-Term Disability coverage shall be terminated. Coverage will not be reinstated until the first of the month following return to pay status.