Termination of Cal-COBRA Continuation Coverage. Coverage under Cal-COBRA continues only upon payment of applicable Premiums to Plan by the Member and may be discontinued before the end of the maximum period for any of the following reasons:
Termination of Cal-COBRA Continuation Coverage. Usually, a Member’s Cal-COBRA continuation coverage will last up to thirty-six (36) months. The continuation coverage shall end automatically if the individual becomes eligible for Medicare or becomes covered under any group health plan not maintained by the employer or any other health plan, regardless of whether that coverage is less valuable. Member’s Cal-COBRA continuation coverage may terminate early if: Member moves out of Plan’s service area; Member does not pay the required premium within fifteen (15) days of it being due; Member commits fraud or deception in using Plan’s services; Member obtains other group coverage. If the group benefit plan is terminated prior to the date that a Member’s Cal-COBRA continuation coverage would expire, Member’s coverage with Plan will expire. Member has the opportunity to continue coverage under any group benefit plan purchased by Group. If Group purchases a new plan, that plan will send Member premium information and enrollment forms. Member may continue coverage for the remainder of the Cal-COBRA continuation period. It is important for Member to keep Plan and Group updated if there are any changes of address. Cal-COBRA continuation coverage will terminate if Member fails to enroll and pay premiums to the new group benefit plan within thirty (30) days after receiving notification of the termination of Plan’s group benefit plan. If Group changes its EAP benefit to another plan, Member’s coverage with Plan will expire, and Member will be given the opportunity to continue coverage with the new plan. The new plan is required to provide coverage for the balance of the Cal- COBRA continuation coverage period.
Termination of Cal-COBRA Continuation Coverage. Coverage under Cal-COBRA continues only upon payment of applicable Premiums to Plan by the Member and may be discontinued before the end of the maximum period for any of the following reasons:
(1) Employer Group no longer provides group health plan coverage to any of its employees.
(2) the Premiums for the continuation coverage are not paid within the time frames(s) specified.
(3) the Member has other hospital, medical, or surgical coverage or is or becomes covered under another group benefit plan that: (i) does not contain any Exclusion or Limitation with respect to any Preexisting Condition he/she may have; or (ii) is prohibited from enforcing the Exclusion or Limitation.
(4) the Member is or becomes entitled to Part A Medicare benefits.
