Common use of Extension of Benefits Clause in Contracts

Extension of Benefits. If you become Totally Disabled while covered under this plan and continue to be Totally Disabled on the date the Contract terminates, Blue Shield will extend Benefits directly related to the condition, illness, or injury causing your Total Disability until one of the following occurs: • 12 months from the effective date of termination; • The date you are no longer Totally Disabled; or • The date on which a replacement carrier provides coverage for your Total Disability. Your extension of Benefits will be subject to all the limitation and restrictions of this plan. You will not receive an extension of Benefits unless a Physician provides Blue Shield with written certification of your Total Disability within 90 days of the effective date of termination. After that, the Physician must continue to provide written certification of your Total Disability at reasonable intervals Blue Shield determines. Please examine your options carefully before declining this coverage. You can continue coverage under this group plan when your Employer is subject to either Title X of the Consolidated Omnibus Budget Reconciliation Act (COBRA), as amended, or the California Continuation Benefits Replacement Act (Cal-COBRA). Your benefits under the group continuation of coverage provisions will be identical to the Benefits you would have received as an active Employee if the qualifying event had not occurred. Any changes in the coverage available to active Employees will also apply to group continuation coverage.

Appears in 20 contracts

Samples: Group Health Service Contract, Group Health Service Contract, Group Health Service Contract

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Extension of Benefits. If you become Totally Disabled while covered under this plan and continue to be Totally Disabled on the date the Contract terminates, Blue Shield will extend Benefits directly related to the condition, illness, or injury causing your Total Disability until one of the following occurs: 12 months from the effective date of termination; The date you are no longer Totally Disabled; or The date on which a replacement carrier provides coverage for your Total Disability. Your extension of Benefits will be subject to all the limitation and restrictions of this plan. You will not receive an extension of Benefits unless a Physician provides Blue Shield with written certification of your Total Disability within 90 days of the effective date of termination. After that, the Physician must continue to provide written certification of your Total Disability at reasonable intervals Blue Shield determines. Please examine your options carefully before declining this coverage. You can continue coverage under this group plan when your Employer is subject to either Title X of the Consolidated Omnibus Budget Reconciliation Act (COBRA), as amended, or the California Continuation Benefits Replacement Act (Cal-COBRA). Your benefits under the group continuation of coverage provisions will be identical to the Benefits you would have received as an active Employee if the qualifying event had not occurred. Any changes in the coverage available to active Employees will also apply to group continuation coverage.

Appears in 6 contracts

Samples: Group Health Service Contract, Group Health Service Contract, Group Health Service Contract

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Extension of Benefits. If you become Totally Disabled while covered under this plan and continue to be Totally Disabled on the date the Contract terminates, Blue Shield will extend Benefits directly related to the condition, illness, or injury causing your Total Disability until one of the following occurs: • 12 months from the effective date of termination; • The date you are no longer Totally Disabled; or • The date on which a replacement carrier provides coverage for your Total Disability. Your extension of Benefits will be subject to all the limitation limitations and restrictions of this plan. You will not receive an extension of Benefits unless a Physician provides Blue Shield with written certification of your Total Disability within 90 days of the effective date of termination. After that, the Physician must continue to provide written certification of your Total Disability at reasonable intervals Blue Shield determines. Please examine your options carefully before declining this coverage. You can continue coverage under this group plan when your Employer is subject to either Title X of the Consolidated Omnibus Budget Reconciliation Act (COBRA), as amended, or the California Continuation Benefits Replacement Act (Cal-COBRA). Your benefits under the group continuation of coverage provisions will be identical to the Benefits you would have received as an active Employee if the qualifying event had not occurred. Any changes in the coverage available to active Employees will also apply to group continuation coverage.

Appears in 1 contract

Samples: Group Health Service Contract

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