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.
Appears in 5 contracts
Samples: Group Agreement, Group Agreement, Group Agreement
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 Pre-existing 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.
Appears in 1 contract
Samples: Group Agreement
Termination of Cal-COBRA Continuation Coverage. Coverage under Cal-COBRA continues only upon payment of applicable Premiums to the Plan by the Member and may be discontinued before the end of the maximum period for any of the following reasons:
(1) the 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 Pre-existing 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.
Appears in 1 contract
Samples: Group Agreement