Common use of Ongoing Eligibility Clause in Contracts

Ongoing Eligibility. The ongoing eligibility period is from September 1, through August 31, of each year. Extra Help workers in Category A are not required to work 30 hours per pay period during the “off-season”. At the end of the working season, when Category A individuals drop off payroll they will be notified that they can elect to continue coverage or drop coverage. If they choose to continue coverage, they pay 100% of the premium. If they fail to pay the premium during any pay period they will be terminated from coverage, offered COBRA, and they will not be eligible for coverage again until they are re-hired. Such coverage will begin the first of the month following their re-employment. If Category A extra-help workers choose to drop coverage, they can re-enroll if they are re-hired for the next season and are once again in a paid status. Coverage will begin the first of the month following their re- enrollment. At the beginning of each fiscal year, extra-help workers who have worked 750 hours in the prior fiscal year will be eligible for the following year’s coverage. Any individual who is not eligible (after having been eligible in the prior year) will be offered COBRA. Health coverage will be terminated for covered extra-help workers who: 1. Terminate employment during the season (benefits terminate at the end of the month of termination). 2. Fail to work 750 hours, as determined the following July (benefits terminate effective August 31, and COBRA is offered). 3. Fail to work 30 hours per pay period in 2 consecutive pay periods during the season of employment (benefits terminate effective the end of the month of termination). 4. Fail to pay within a single pay period their portion of cost (during the season or if they have elected coverage in the off-season, during the off-season). Example: Xxxx is a Park Aide who normally works from April through October and has more than 750 hours in 2005-2006. She elects to enroll during the August open enrollment and receives health coverage effective September 1. Xxxx continues to work until the end of October and is terminated because the season is over. Xxxx is given the chance to continue coverage until next April, at her own cost.  If she elects coverage, she will be covered during the off-season, provided that she pays 100% of the premium on a timely (pay period) basis. If, during the off-season, she does not pay her premium in the pay period, she will be terminated at the end of the month and will be able to re-enroll when she is rehired. If she has insufficient hours when eligibility is re-determined in July, she will be offered COBRA.  If Xxxx elects to drop coverage in November (when her season is over), she will be offered coverage in April when she is re-hired. If she elects coverage at this time she will be covered through August 31. If she loses coverage for any of the reasons listed above, she will be ineligible for coverage until September 1, provided she has worked 750 hours in 2006-2007. Extra-help workers in Category B, not designated as “relief”, will be eligible for coverage from September 1 through August 31 of each year, as long as they continue to meet the eligibility requirements. Health care coverage will be terminated for covered individuals who: 1. Terminate extra-help employment during the year (benefits terminate at the end of the month of termination). 2. Fail to work 900 hours, as determined the following July 1 (benefits terminate effective August 31). 3. Fail to work 30 hours per pay period in 2 consecutive pay periods (benefits terminate effective the end of the month of termination). 4. Fail to pay within a single pay period for any remaining premium costs when the County paycheck is insufficient to cover the premium cost (benefits terminate effective the end of the month of termination). Category B extra-help workers who are terminated from coverage for any of the above reasons will be ineligible for coverage until the following September 1. At the beginning of each fiscal year, extra-help workers who have worked 900 hours in the prior fiscal year will be eligible for the following year’s coverage. Open enrollment will be offered each August and coverage will begin each September. Any individual who is not eligible (after having been eligible in the prior year) will be offered COBRA. Xxxx is an extra-help worker who worked more than 900 hours in 2005-2006. He elects to enroll during the August open enrollment and receives health coverage effective September 1. If, at any point during the year, he loses coverage for any of the above reasons, he will be terminated at the end of the month and will be offered COBRA effective the beginning of the following month after termination of coverage. If he does not elect COBRA he will be ineligible for any coverage. If, at the end of the fiscal year he has 900 hours he will be able to re-enroll during the subsequent August open enrollment (with September 1 coverage).

Ongoing Eligibility. The ongoing eligibility period is from September 1, through August 31, of each year. Extra Help workers employees in Category A are not required to work thirty 30 hours per pay period during the “off-off- season”. At the end of the working season, when Category A individuals drop off payroll they will be notified that they can elect to continue coverage or drop coverage. If they choose to continue coverage, they pay one hundred percent (100% %) of the premium. If they fail to pay the premium during any pay period they will be terminated from coverage, offered COBRA, and they will not be eligible for coverage again until they are re-re- hired. Such coverage will begin the first of the month following their re-employment. If Category A extra-help workers employees choose to drop coverage, they can re-enroll if they are re-hired for the next season and are once again in a paid status. Coverage will begin the first of the month following their re- enrollment. At the beginning of each fiscal year, extra-help workers employees who have worked 750 seven hundred fifty (750) hours in the prior fiscal year will be eligible for the following year’s coverage. Any individual who is not eligible (after having been eligible in the prior year) will be offered COBRA. Health coverage will be terminated for covered extra-help workers employees who: 1. Terminate employment during the season (benefits terminate at the end of the month of termination). 2. Fail to work 750 seven hundred fifty (750) hours, as determined the following July (benefits terminate effective August 31, and COBRA is offered). 3. Fail to work 30 hours per pay period in 2 two (2) consecutive pay periods during the season of employment (benefits terminate effective the end of the month of termination). 4. Fail to pay within a single pay period their portion of cost (during the season or if they have elected coverage in the off-season, during the off-season). Example: Xxxx is a Park Aide who normally works from April through October and has more than 750 seven hundred fifty (750) hours in 2005-2006the prior fiscal year. She elects to enroll during the August open enrollment and receives health coverage effective September 1. Xxxx continues to work until the end of October and is terminated because the season is over. Xxxx is given the chance to continue coverage until next April, at her own cost.  • If she elects coverage, she will be covered during the off-season, provided that she pays one hundred percent (100% %) of the premium on a timely (pay period) basis. If, during the off-season, she does not pay her premium in the pay period, she will be terminated at the end of the month and will be able to re-re- enroll when she is rehired. If she has insufficient hours when eligibility is re-determined in July, she will be offered COBRA.  • If Xxxx elects to drop coverage in November (when her season is over), she will be offered coverage in April when she is re-hired. If she elects coverage at this time she will be covered through August 31. If she loses coverage for any of the reasons listed above, she will be ineligible for coverage until September 1, provided she has worked 750 seven hundred fifty (750) hours in 2006-2007the prior fiscal year. Extra-help workers employees in Category B, not designated as “relief”, will be eligible for coverage from September 1 through August 31 of each year, as long as they continue to meet the eligibility requirements. Health care coverage will be terminated for covered individuals who: 1. Terminate extra-help employment during the year (benefits terminate at the end of the month of termination). 2. Fail to work 900 nine hundred (900) hours, as determined the following July 1 (benefits terminate effective August 31). 3. Fail to work 30 thirty (30) hours per pay period in 2 consecutive pay periods (benefits terminate effective the end of the month of termination). 4. Fail to pay within a single pay period for any remaining premium costs when the County paycheck is insufficient to cover the premium cost (benefits terminate effective the end of the month of termination). Category B extra-help workers employees who are terminated from coverage for any of the above reasons will be ineligible for coverage until the following September 1. At the beginning of each fiscal year, extra-help workers employees who have worked 900 nine hundred (900) hours in the prior fiscal year will be eligible for the following year’s coverage. Open enrollment will be offered each August and coverage will begin each September. Any individual who is not eligible (after having been eligible in the prior year) will be offered COBRA. Xxxx is an extra-help worker who worked more than 900 hours in 2005-2006. He elects to enroll during the August open enrollment and receives health coverage effective September 1. If, at any point during the year, he loses coverage for any of the above reasons, he will be terminated at the end of the month and will be offered COBRA effective the beginning of the following month after termination of coverage. If he does not elect COBRA he will be ineligible for any coverage. If, at the end of the fiscal year he has 900 hours he will be able to re-enroll during the subsequent August open enrollment (with September 1 coverage).

Ongoing Eligibility. The ongoing eligibility period is from September 1, through August 31, of each year. Extra Help workers in Category A are not required to work 30 hours per pay period during the “off-season”. At the end of the working season, when Category A individuals drop off payroll they will be notified that they can elect to continue coverage or drop coverage. If they choose to continue coverage, they pay 100% of the premium. If they fail to pay the premium during any pay period they will be terminated from coverage, offered COBRA, and they will not be eligible for coverage again until they are re-hired. Such coverage will begin the first of the month following their re-employment. If Category A extra-help workers choose to drop coverage, they can re-enroll if they are re-hired for the next season and are once again in a paid status. Coverage will begin the first of the month following their re- re-enrollment. At the beginning of each fiscal year, extra-help workers who have worked 750 hours in the prior fiscal year will be eligible for the following year’s coverage. Any individual who is not eligible (after having been eligible in the prior year) will be offered COBRA. Health coverage will be terminated for covered extra-help workers who: 1. Terminate employment during the season (benefits terminate at the end of the month of termination). 2. Fail to work 750 hours, as determined the following July (benefits terminate effective August 31, and COBRA is offered). 3. Fail to work 30 hours per pay period in 2 consecutive pay periods during the season of employment (benefits terminate effective the end of the month of termination). 4. Fail to pay within a single pay period their portion of cost (during the season or if they have elected coverage in the off-season, during the off-season). Example: Xxxx is a Park Aide who normally works from April through October and has more than 750 hours in 2005-2006. She elects to enroll during the August open enrollment and receives health coverage effective September 1. Xxxx continues to work until the end of October and is terminated because the season is over. Xxxx is given the chance to continue coverage until next April, at her own cost.  • If she elects coverage, she will be covered during the off-season, provided that she pays 100% of the premium on a timely (pay period) basis. If, during the off-season, she does not pay her premium in the pay period, she will be terminated at the end of the month and will be able to re-enroll when she is rehired. If she has insufficient hours when eligibility is re-determined in July, she will be offered COBRA.  • If Xxxx elects to drop coverage in November (when her season is over), she will be offered coverage in April when she is re-hired. If she elects coverage at this time she will be covered through August 31. If she loses coverage for any of the reasons listed above, she will be ineligible for coverage until September 1, provided she has worked 750 hours in 2006-2007. Extra-help workers in Category B, not designated as “relief”, will be eligible for coverage from September 1 through August 31 of each year, as long as they continue to meet the eligibility requirements. Health care coverage will be terminated for covered individuals who: 1. Terminate extra-help employment during the year (benefits terminate at the end of the month of termination). 2. Fail to work 900 hours, as determined the following July 1 (benefits terminate effective August 31). 3. Fail to work 30 hours per pay period in 2 consecutive pay periods (benefits terminate effective the end of the month of termination). 4. Fail to pay within a single pay period for any remaining premium costs when the County paycheck is insufficient to cover the premium cost (benefits terminate effective the end of the month of termination). Category B extra-help workers who are terminated from coverage for any of the above reasons will be ineligible for coverage until the following September 1. At the beginning of each fiscal year, extra-help workers who have worked 900 hours in the prior fiscal year will be eligible for the following year’s coverage. Open enrollment will be offered each August and coverage will begin each September. Any individual who is not eligible (after having been eligible in the prior year) will be offered COBRA. Example: Xxxx is an extra-help worker who worked more than 900 hours in 2005-2006. He elects to enroll during the August open enrollment and receives health coverage effective September 1. If, at any point during the year, he loses coverage for any of the above reasons, he will be terminated at the end of the month and will be offered COBRA effective the beginning of the following month after termination of coverage. If he does not elect COBRA he will be ineligible for any coverage. If, at the end of the fiscal year he has 900 hours he will be able to re-enroll during the subsequent August open enrollment (with September 1 coverage).

Ongoing Eligibility. The ongoing eligibility period is from September 1, through August 31, of each year. Extra Help workers employees in Category A are not required to work thirty 30 hours per pay period during the “off-off- season”. At the end of the working season, when Category A individuals drop off payroll they will be notified that they can elect to continue coverage or drop coverage. If they choose to continue coverage, they pay one hundred percent (100% %) of the premium. If they fail to pay the premium during any pay period they will be terminated from coverage, offered COBRA, and they will not be eligible for coverage again until they are re-re- hired. Such coverage will begin the first of the month following their re-employment. If Category A extra-help workers employees choose to drop coverage, they can re-enroll if they are re-hired for the next season and are once again in a paid status. Coverage will begin the first of the month following their re- enrollment. At the beginning of each fiscal year, extra-help workers employees who have worked 750 seven hundred fifty (750) hours in the prior fiscal year will be eligible for the following year’s coverage. Any individual who is not eligible (after having been eligible in the prior year) will be offered COBRA. Health coverage will be terminated for covered extra-help workers employees who: 1. Terminate employment during the season (benefits terminate at the end of the month of termination). 2. Fail to work 750 seven hundred fifty (750) hours, as determined the following July (benefits terminate effective August 31, and COBRA is offered). 3. Fail to work 30 hours per pay period in 2 two (2) consecutive pay periods during the season of employment (benefits terminate effective the end of the month of termination). 4. Fail to pay within a single pay period their portion of cost (during the season or if they have elected coverage in the off-season, during the off-season). Example: Xxxx is a Park Aide who normally works from April through October and has more than 750 seven hundred fifty (750) hours in 2005-2006the prior fiscal year. She elects to enroll during the August open enrollment and receives health coverage effective September 1. Xxxx continues to work until the end of October and is terminated because the season is over. Xxxx is given the chance to continue coverage until next April, at her own cost.  If she elects coverage, she will be covered during the off-season, provided that she pays one hundred percent (100% %) of the premium on a timely (pay period) basis. If, during the off-season, she does not pay her premium in the pay period, she will be terminated at the end of the month and will be able to re-re- enroll when she is rehired. If she has insufficient hours when eligibility is re-determined in July, she will be offered COBRA.  If Xxxx elects to drop coverage in November (when her season is over), she will be offered coverage in April when she is re-hired. If she elects coverage at this time she will be covered through August 31. If she loses coverage for any of the reasons listed above, she will be ineligible for coverage until September 1, provided she has worked 750 seven hundred fifty (750) hours in 2006-2007the prior fiscal year. Extra-help workers employees in Category B, not designated as “relief”, will be eligible for coverage from September 1 through August 31 of each year, as long as they continue to meet the eligibility requirements. Health care coverage will be terminated for covered individuals who: 1. Terminate extra-help employment during the year (benefits terminate at the end of the month of termination). 2. Fail to work 900 nine hundred (900) hours, as determined the following July 1 (benefits terminate effective August 31). 3. Fail to work 30 thirty (30) hours per pay period in 2 consecutive pay periods (benefits terminate effective the end of the month of termination). 4. Fail to pay within a single pay period for any remaining premium costs when the County paycheck is insufficient to cover the premium cost (benefits terminate effective the end of the month of termination). Category B extra-help workers employees who are terminated from coverage for any of the above reasons will be ineligible for coverage until the following September 1. At the beginning of each fiscal year, extra-help workers employees who have worked 900 nine hundred (900) hours in the prior fiscal year will be eligible for the following year’s coverage. Open enrollment will be offered each August and coverage will begin each September. Any individual who is not eligible (after having been eligible in the prior year) will be offered COBRA. Xxxx is an extra-help worker who worked more than 900 hours in 2005-2006. He elects to enroll during the August open enrollment and receives health coverage effective September 1. If, at any point during the year, he loses coverage for any of the above reasons, he will be terminated at the end of the month and will be offered COBRA effective the beginning of the following month after termination of coverage. If he does not elect COBRA he will be ineligible for any coverage. If, at the end of the fiscal year he has 900 hours he will be able to re-enroll during the subsequent August open enrollment (with September 1 coverage).