Employer Coverage Clause Samples

Employer Coverage. Upon becoming eligible, the employee’s spouse must enroll in Employer Coverage unless he/she is exempt from this requirement in accordance with the exemptions stated in this section.

Employer Coverage. It is the employee’s responsibility to advise the Plan via the University’s Human Resources Office immediately (and not later than 30 days after any change in eligibility) if the employee’s spouse becomes eligible to participate in group medical health insurance and/or prescription drug insurance sponsored by his/her employer, business, or employer’s retirement plan. Upon becoming eligible, the employee’s spouse must enroll in group medical and/or prescription insurance sponsored by his/her employer, business, or employer’s retirement planEmployer Coverage unless he/she is exempt from this requirement in accordance with the exemptions stated in this section. Every bargaining unit member whose spouse participates in the University’s group medical and/or prescription drug insurance coverage shall complete and submit to the Plan, upon request, a written certification verifying whether his/her spouse is eligible to participate in group medical and/or prescription drug insurance coverage sponsored by the spouse’s employer, business, or employer’s retirement plan.for, and enrolled in, Employer Coverage. If any bargaining unit member fails to complete and submit the certification during the annual certification process, such bargaining unit member’s spouse will be removed immediately from the University’s medical insurance and/or prescription drug insurance ▇▇▇▇▇▇▇▇.▇▇▇▇▇▇▇▇▇▇ Coverage. Any information not completed or provided on the certification form may be requested from the employee. If a bargaining unit member submits false material information or fails to timely advise the Plan via the cChief hHuman rResources oOfficer of a change in the eligibility of the employee’s spouse for group medical and/or prescription drug insurance sponsored by his/her employer, business or employer’s retirement planEmployer Coverage within 30 days of notification of such eligibility, and such false information or failure results in the provision of University providing medical and prescription drug benefits to Coverage to which the employee’s spouse to which they areis not entitled, the employee’s spouse will be disenrolled from University Coverage. Such disenrollment may be retroactive to the date as of which the employee’s spouse became ineligible for plan coverage, as determined by the administrator for the University Coverage. The administrator shall provide at least 30 days advance written notice of any proposed retroactive disenrollment. In the event of retroactive disenr...