Common use of Retiree Coverage Clause in Contracts

Retiree Coverage. 1. To enroll or continue coverage for him/herself and his/her dependents at retire- ment, the employee must submit one (1) of the following: A. A completed enrollment form within thirty-one (31) days of retirement date. Coverage is effective on retirement date; or B. A completed enrollment form within thirty-one (31) days of retirement date with proof of prior medical, dental, or vision coverage under a separate group or individual insurance policy for six (6) months immedi- ately prior to his/her retirement if s/he choos- es to enroll in an MCHCP plan at retirement and has had insurance coverage for six (6) months immediately prior to his/her retire- ment. 2. A retiree may later add a spouse/child(xxx) to his/her current coverage if one (1) of the following occurs: X. Xxxxxxxxxx of a life event, which includes marriage, birth, adoption, and placement of child(ren). A special enrollment period of thirty-one (31) days shall be avail- able beginning with the date of the life event. It is the employee’s responsibility to notify MCHCP of the life event. (I) If paternity is necessary to establish the life event and was not estab- lished at birth, the date that paternity is estab- lished shall be the date of the life event; or B. Employer-sponsored group cover- age loss. A retiree may enroll his/her spouse/child(ren) within sixty (60) days due to an involuntary loss of employer-sponsored coverage under one (1) of the following cir- cumstances, and the coverage was in place for twelve (12) months immediately prior to the loss: (I) Employer-sponsored medical, dental, or vision plan terminates; (II) Eligibility for employer-spon- sored coverage ends; (III) Employer contributions toward the premiums end; or (IV) COBRA coverage ends. 3. If coverage was not maintained while on disability, the employee and his/her depen- dents may enroll him/herself and his/her spouse/child(xxx) within thirty-one (31) days of the date the employee is eligible for retire- ment benefits subject to the eligibility provi- sions herein. 4. A retiree may change from one (1) medical plan to another during open enroll- ment but cannot add coverage for a spouse/child(ren). If a retiree is not already enrolled in medical, dental, and/or vision coverage, s/he cannot enroll in additional coverage during open enrollment. 5. If a retiree submits an Open Enroll- ment Worksheet or an Enroll/Change/Can- cel/Waive form that is incomplete or contains obvious errors, MCHCP will notify the retiree of such by mail, phone, or secure mes- sage. The retiree must submit a corrected form to MCHCP by the date enrollment was originally due to MCHCP or ten (10) busi- ness days from the date the notice was mailed or sent by secure message or phone, whichev- er is later. 6. If a retiree is enrolled and does not complete enrollment during the open enroll- ment period, the retiree and his/her depen- dents will be enrolled at the same level of coverage in the plan offered by the public entity for the new year. If the public entity offers two (2) plan options, the retiree and his/her dependents will be enrolled at the same level of coverage in the low cost plan offered by the public entity, effective the first day of the next calendar year.

Retiree Coverage. 1. To enroll or continue coverage for him/herself at retirement, the employee and his/her dependents at retire- ment, the employee depen- dents must submit one (1) of the following: A. A completed enrollment form within thirty-one (31) days of retirement date. Coverage is effective on retirement date; or B. A completed enrollment form within thirty-one (31) days of retirement date with proof of prior medical, dental, or vision medical coverage under a separate group or individual insurance policy for six (6) months immedi- ately immediately prior to his/her retirement if s/he choos- es and his/her dependents choose to enroll in an MCHCP plan at retirement and has have had insurance coverage for six (6) months immediately prior to his/her retire- mentretirement. 2. A retiree may later add a spouse/child(xxx) dependent to his/her current coverage if one (1) of the following fol- lowing occurs: X. Xxxxxxxxxx of a life event, which includes marriage, birth, adoption, and placement of child(ren)children. A special enrollment period of thirty-one (31) days shall be avail- able beginning with the date of the life event. It is the employee’s responsibility to notify MCHCP of the life event. (I) If paternity is necessary to establish the life event and was not estab- lished at birth, the date that paternity is estab- lished shall be the date of the life event; or B. Employer-sponsored group cover- age loss. A retiree may enroll his/her spouse/child(ren) depen- dent within sixty (60) days due to an involuntary loss of if the dependent involuntarily loses employer-sponsored coverage cov- erage under one (1) of the following cir- cumstancescircum- stances, and the coverage was in place for twelve (12) months immediately prior to the loss: (I) Employer-sponsored medical, dental, or vision plan terminates; (II) Eligibility for employer-spon- sored coverage ends; (III) Employer contributions toward the premiums end; or (IV) COBRA coverage ends. 3. If coverage was not maintained while on disability, the employee and his/her depen- dents may enroll him/herself and his/her spouse/child(xxx) within thirty-one (31) days of the date the employee is eligible for retire- ment benefits subject to the eligibility provi- sions herein. 4. A retiree may change from one (1) medical plan to another during open enroll- ment but cannot add coverage for a spouse/child(ren)dependent. If a retiree is not already enrolled in medical, dental, and/or vision coverage, s/he cannot enroll in additional coverage during open enrollment. 5. If a retiree submits an Open Enroll- ment Worksheet or an Enroll/Change/Can- cel/Waive form that is incomplete or contains obvious errors, MCHCP will notify the retiree of such by mail, phone, or secure mes- sagemessage. The retiree must submit a corrected form to MCHCP by the date enrollment was originally original- ly due to MCHCP or ten (10) busi- ness business days from the date the notice was mailed or sent by secure message or phone, whichev- er whichever is later. 6. If a retiree is currently enrolled and does not complete enrollment during the open enroll- ment enrollment period, the retiree and his/her depen- dents dependents will be enrolled at the same level of coverage in the plan offered by the public entity for the new year. If the public entity offers two (2) plan options, the retiree and his/her dependents will be enrolled at the same level of coverage in the low cost plan offered by the public entity, effective the first day of the next calendar year.

Retiree Coverage. 1. To enroll or continue coverage for him/herself and his/her dependents at retire- ment, the employee must submit one (1) of the following: A. A completed enrollment form within thirty-one (31) days of retirement date. Coverage is effective on retirement date; or B. A completed enrollment form within thirty-one (31) days of retirement date with proof of prior medical, dental, or vision coverage under a separate group or individual insurance policy for six (6) months immedi- ately prior to his/her retirement if s/he choos- es to enroll in an MCHCP plan at retirement and has had insurance coverage for six (6) months immediately prior to his/her retire- ment. 2. A retiree may later add a spouse/child(xxx) to his/her current coverage if one (1) of the following occurs: X. Xxxxxxxxxx of a life event, which includes marriage, birth, adoption, and placement of child(ren). A special enrollment period of thirty-one (31) days shall be avail- able beginning with the date of the life event. It is the employee’s responsibility to notify MCHCP of the life event.; (I) If paternity is necessary to establish the life event and was not estab- lished at birth, the date that paternity is estab- lished shall be the date of the life event; or B. Employer-sponsored group cover- age loss. A retiree may enroll his/her spouse/child(ren) within sixty (60) days due to an involuntary loss of employerif the spouse/child(xxx) involuntarily loses employ- er-sponsored coverage under one (1) of the following cir- cumstancescircumstances, and the coverage was in place for twelve (12) months immediately immedi- ately prior to the loss: (I) Employer-sponsored medical, dental, or vision plan terminates; (II) Eligibility for employer-spon- sored coverage ends; (III) Employer contributions toward the premiums end; or (IV) COBRA coverage ends. 3. If coverage was not maintained while on disability, the employee and his/her depen- dents may enroll him/herself and his/her spouse/child(xxxchild(ren) within thirty-one (31) days of the date the employee is eligible for retire- ment benefits subject to the eligibility provi- sions herein. 4. A retiree may change from one (1) medical plan to another during open enroll- ment but cannot add coverage for a spouse/child(ren). If a retiree is not already enrolled in medical, dental, and/or vision coverage, s/he cannot enroll in additional coverage during open enrollment. 5. If a retiree submits an Open Enroll- ment Worksheet or an Enroll/Change/Can- cel/Waive form that is incomplete or contains obvious errors, MCHCP will notify the retiree of such by mail, phone, or secure mes- sage. The retiree must submit a corrected form to MCHCP by the date enrollment was originally due to MCHCP or ten (10) busi- ness days from the date the notice was mailed or sent by secure message or phone, whichev- er is later. 6. If a retiree is enrolled and does not complete enrollment during the open enroll- ment period, the retiree and his/her depen- dents will be enrolled at the same level of coverage in the plan offered by the public entity for the new year. If the public entity offers two (2) plan options, the retiree and his/her dependents will be enrolled at the same level of coverage in the low cost plan offered by the public entity, effective the first day of the next calendar year.