Termination of COBRA Continuation Coverage. Coverage under this Section 8.1 continues only upon payment of applicable Premiums to Employer Group at the time specified by Employer Group, and terminates on the earlier of: (1) termination of this Agreement and all other group health plans by Employer Group; (2) coverage of the Member under any other group health plan that does not contain any exclusion or limitation with respect to any Preexisting Condition or the Member's entitlement to benefits under Medicare. (3) expiration of 36 calendar months after an event described in Section 8.1.1(1) or (2). (4) expiration of 18 calendar months after an event described in 8.1.1(3) unless Section 8.1.3(5) is applicable. The Member may opt for an additional 18 months of Cal- COBRA coverage, as defined in Section 8.1.2 of this Agreement. (5) expiration of 29 months after an event described in Section 8.1.1(3) for a Member determined by the Social Security Administration to have been disabled at the time of the event described in Section 8.1.1(3). The Member may opt for an additional seven months of Cal-COBRA coverage, as defined in Section 8.1.2 of this Agreement. (6) conduct of the Member that would justify Plan in terminating coverage of a similarly situated Member not receiving COBRA coverage, such as fraud.
Appears in 4 contracts
Samples: Group Agreement, Group Agreement, Group Agreement
Termination of COBRA Continuation Coverage. Coverage under this Section 8.1 continues only upon payment of applicable Premiums to Employer Group at the time specified by Employer Group, and terminates on the earlier of:
(1) termination of this Agreement and all other group health plans by Employer Group;
(2) coverage of the Member under any other group health plan that does not contain any exclusion or limitation with respect to any Preexisting Condition or the Member's entitlement to benefits under Medicare.
(3) expiration of 36 calendar months after an event described in Section 8.1.1(1) or (2).
(4) expiration of 18 calendar months after an event described in 8.1.1(3) unless Section 8.1.3(5) is applicable. The Member may opt for an additional 18 months of Cal- Cal-COBRA coverage, as defined in Section 8.1.2 of this Agreement.
(5) expiration of 29 months after an event described in Section 8.1.1(3) for a Member determined by the Social Security Administration to have been disabled at the time of the event described in Section 8.1.1(3). The Member may opt for an additional seven months of Cal-COBRA coverage, as defined in Section 8.1.2 of this Agreement.
(6) conduct of the Member that would justify Plan in terminating coverage of a similarly situated Member not receiving COBRA coverage, such as fraud.
Appears in 1 contract
Samples: Group Agreement
Termination of COBRA Continuation Coverage. Coverage under this Section 8.1 continues only upon payment of applicable Premiums to the Employer Group at the time specified by the Employer Group, and terminates on the earlier of:
(1) termination of this Agreement and all other group health plans by the Employer Group;
(2) coverage of the Member under any other group health plan that which does not contain any exclusion or limitation with respect to any Preexisting Condition or the Member's ’s entitlement to benefits under Medicare.
(3) expiration of 36 thirty-six (36) calendar months after an event described in Section 8.1.1(1) or (2).
(4) expiration of 18 eighteen (18) calendar months after an event described in 8.1.1(3) unless Section 8.1.3(5) is applicable. The Member may opt for an additional 18 months of Cal- COBRA coverage, as defined in Section 8.1.2 of this Agreement.
(5) expiration of 29 twenty-nine (29) months after an event described in Section 8.1.1(3) for a Member determined by the Social Security Administration to have been disabled at the time of the event described in Section 8.1.1(3). The Member may opt for an additional seven 7 months of Cal-COBRA coverage, as defined in Section 8.1.2 of this Agreement.
(6) conduct of the Member that would justify Plan no longer resides or works in terminating coverage of a similarly situated Member not receiving COBRA coverage, such as fraudthe Service Area.
Appears in 1 contract
Samples: Group Agreement
Termination of COBRA Continuation Coverage. Coverage under this Section 8.1 continues only upon payment of applicable Premiums to Employer Group at the time specified by Employer Group, and terminates on the earlier of:
(1) termination of this Agreement and all other group health plans by Employer Group;
(2) coverage of the Member under any other group health plan that which does not contain any exclusion or limitation with respect to any Preexisting Condition or the Member's entitlement to benefits under Medicare.
(3) expiration of 36 calendar months after an event described in Section 8.1.1(1) or (2).
(4) expiration of 18 calendar months after an event described in 8.1.1(3) unless Section 8.1.3(5) is applicable. The Member may opt for an additional 18 months of Cal- COBRA coverage, as defined in Section 8.1.2 of this Agreement.
(5) expiration of 29 months after an event described in Section 8.1.1(3) for a Member determined by the Social Security Administration to have been disabled at the time of the event described in Section 8.1.1(3). The Member may opt for an additional seven months of Cal-COBRA coverage, as defined in Section 8.1.2 of this Agreement.
(6) conduct of the Member that would justify Plan no longer resides or works in terminating coverage of a similarly situated Member not receiving COBRA coverage, such as fraudthe Service Area.
Appears in 1 contract
Samples: Group Subscriber Agreement