Common use of Extensions of Coverage Periods Clause in Contracts

Extensions of Coverage Periods. a. The 18-month coverage period may be extended if an event which would otherwise qualify the Member for the 36-month coverage period occurs during the 18-month period, but in no event may coverage be longer than 36 months from the event which qualified the Member for continuation coverage initially. b. In the event that a Member is determined, within the meaning of the Social Security Act, to be disabled and notifies the Contract Holder before the end of the initial 18-month period, continuation coverage may be extended up to an additional 11 months for a total of 29 months. This provision is limited to Members who are disabled at any time during the first 60 days of continuation coverage under this subsection (A) and only when the qualifying event is the Members reduction in hours or termination. The Member may be charged a higher rate for the extended period.

Appears in 4 contracts

Samples: Group Agreement, Certificate of Coverage, Group Agreement

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