Common use of Termination of Dependent Health Plan Coverage Clause in Contracts

Termination of Dependent Health Plan Coverage. 16 Written notice from the employee upon termination of marriage 17 or domestic partnership or any other change in dependent eligibility is required. 18 Employees are responsible for timely reporting of any change in the eligibility status 19 of enrolled dependent family members to the County Employee Benefits Office. 20 a. To protect COBRA rights, employees must notify 21 Employee Benefits Office of the dependent’s status change within sixty (60) days of 22 the qualifying event. Federal law shall govern COBRA eligibility for disqualified 23 dependents. 24 b. Employees whose marriage or domestic partnership ends 25 must submit a Statement of Dissolution of Marriage/Domestic Partnership through 26 the Benefit Change process to report the event. 27 c. Employees must remove from coverage a child who has 28 become ineligible by completing the Benefit Change process. Removal of a 29 dependent that ages off the plan does not require any action on the employee’s part. 30 d. Employees who fail to remove an ineligible spouse, 31 domestic partner, or child within sixty (60) days of the qualifying event and have not 1 elected to purchase COBRA coverage for the terminated dependent will be required, 2 retroactive to the coverage end date, to reimburse the County sponsored health plan 3 for claims incurred and paid while the former spouse, partner, or child remained 4 enrolled but was no longer an eligible dependent. 5 e. Dependent health plan coverage ends on the last day of 6 the calendar month in which the termination occurs, examples. 7

Termination of Dependent Health Plan Coverage. 16 26 Written notice from the employee upon termination of 27 marriage 17 or domestic partnership or any other change in dependent eligibility is 28 required. 18 Employees are responsible for timely reporting of any change in the 29 eligibility status 19 of enrolled dependent family members to the County Employee 30 Benefits Office. 20 31 a. To protect COBRA rights, employees must notify 21 1 Employee Benefits Office of the dependent’s status change within sixty (60) days 2 of 22 the qualifying event. Federal law shall govern COBRA eligibility for disqualified 23 3 dependents. 24 4 b. Employees whose marriage or domestic partnership 5 ends 25 must submit complete, sign, and file with the Employee Benefits Office a Statement copy of Dissolution 6 the statement of Termination of Marriage/Domestic Partnership through 26 the and a Benefit 7 Change process form to report the event. 27 8 c. Employees must remove from coverage a child who 9 has 28 become ineligible by completing the a Benefit Change process. Removal of a 29 dependent that ages off form and submitting the plan does not require any action on 10 completed form to the employee’s partEmployee Benefits Office. 30 11 d. Employees who fail to remove an ineligible spouse, 31 12 domestic partner, or child within sixty (60) days of the qualifying event and have 13 not 1 elected to purchase COBRA coverage for the terminated dependent will be 14 required, 2 retroactive to the coverage end date, to reimburse the County 15 sponsored health plan 3 for claims incurred and paid while the former spouse, 16 partner, or child remained 4 enrolled for coverage but was no longer an eligible dependent.eligible 5 18 e. Dependent health plan coverage ends on the last day of 6 19 the calendar month in which the termination event occurs, examples. 720

Termination of Dependent Health Plan Coverage. 16 14 Written notice from the employee upon termination of 15 marriage 17 or domestic partnership or any other change in dependent eligibility is 16 required. 18 Employees are responsible for timely reporting of any change in the 17 eligibility status 19 of enrolled dependent family members to the County Employee 18 Benefits Office. 20 19 a. To protect COBRA rights, employees must notify 21 20 Employee Benefits Office of the dependent’s status change within sixty (60) days 21 of 22 the qualifying event. Federal law shall govern COBRA eligibility for disqualified 23 22 dependents. 24 23 b. Employees whose marriage or domestic partnership 24 ends must complete, sign, and file with the Employee Benefits Office a copy of the 25 must submit a Statement statement of Dissolution Termination of Marriage/Domestic Partnership through 26 the and a Benefit Change process 26 form to report the event. 27 c. Employees must remove from coverage a child who 28 has 28 become ineligible by completing the a Benefit Change process. Removal of a form and submitting the 29 dependent that ages off completed form to the plan does not require any action on the employee’s partEmployee Benefits Office. 30 d. Employees who fail to remove an ineligible spouse, 31 domestic partner, or child within sixty (60) days of the qualifying event and have 1 not 1 elected to purchase COBRA coverage for the terminated dependent will be 2 required, 2 retroactive to the coverage end date, to reimburse the County sponsored 3 health plan 3 for claims incurred and paid while the former spouse, partner, or child 4 remained 4 enrolled for coverage but was no longer an eligible dependent. 5 e. Dependent health plan coverage ends on the last day of 6 the calendar month in which the termination event occurs, examples. 7

Termination of Dependent Health Plan Coverage. 16 10 Written notice from the employee upon termination of marriage 17 11 or domestic partnership or any other change in dependent eligibility is required. 18 12 Employees are responsible for timely reporting of any change in the eligibility status 19 13 of enrolled dependent family members to the County Employee Benefits Office. 20 14 a. To protect COBRA rights, employees must notify 21 15 Employee Benefits Office of the dependent’s status change within sixty (60) days of 22 16 the qualifying event. Federal law shall govern COBRA eligibility for disqualified 23 17 dependents. 24 18 b. Employees whose marriage or domestic partnership ends 25 19 must submit a Statement complete the statement of Dissolution Termination of Marriage/Domestic Partnership 20 through 26 the Benefit Change process to report the event. 27 21 c. Employees must remove from coverage a child who has 28 22 become ineligible by completing the Benefit Change process. Removal of a 29 23 dependent that ages off the plan does not require any action on the employee’s part. 30 24 d. Employees who fail to remove an ineligible spouse, 31 25 domestic partner, or child within sixty (60) days of the qualifying event and have not 1 26 elected to purchase COBRA coverage for the terminated dependent will be required, 2 27 retroactive to the coverage end date, to reimburse the County sponsored health plan 3 28 for claims incurred and paid while the former spouse, partner, or child remained 4 29 enrolled but was no longer an eligible dependent. 5 30 e. Dependent health plan coverage ends on the last day of 6 31 the calendar month in which the termination occurs, examples. 7.

Termination of Dependent Health Plan Coverage. 16 10 Written notice from the employee upon termination of marriage 17 11 or domestic partnership or any other change in dependent eligibility is required. 18 12 Employees are responsible for timely reporting of any change in the eligibility status 19 13 of enrolled dependent family members to the County Employee Benefits Office. 20 14 a. To protect COBRA rights, employees must notify 21 15 Employee Benefits Office of the dependent’s status change within sixty (60) days of 22 16 the qualifying event. Federal law shall govern COBRA eligibility for disqualified 23 17 dependents. 24 18 b. Employees whose marriage or domestic partnership ends 25 19 must submit a Statement complete the statement of Dissolution Termination of Marriage/Domestic Partnership 20 through 26 the Benefit Change process to report the event. 27 21 c. Employees must remove from coverage a child who has 28 22 become ineligible by completing the Benefit Change processprocess . Removal of a 29 23 dependent that ages off the plan does not require any action on the employee’s part. 30 24 d. Employees who fail to remove an ineligible spouse, 31 25 domestic partner, or child within sixty (60) days of the qualifying event and have not 1 26 elected to purchase COBRA coverage for the terminated dependent will be required, 2 27 retroactive to the coverage end date, to reimburse the County sponsored health plan 3 28 for claims incurred and paid while the former spouse, partner, or child remained 4 29 enrolled but was no longer an eligible dependent. 5 30 e. Dependent health plan coverage ends on the last day of 6 31 the calendar month in which the termination occurs, examples. 7Divorce End of month divorce became final Dissolution of Oregon State registered domestic partnership End of month dissolution of partnership becomes final. Dissolution of domestic partnership initiated by Affidavit or Multnomah County Registry End of month that partner moved out of shared residence Childs reaches maximum dependent ages End of the month that maximum age birth date occurs

Termination of Dependent Health Plan Coverage. 16 20 Written notice from the employee upon termination of marriage 17 21 or domestic partnership or any other change in dependent eligibility is required. 18 22 Employees are responsible for timely reporting of any change in the eligibility status 19 of 23 enrolled dependent family members to the County Employee Benefits Office. 20 24 a. To protect COBRA rights, employees must notify 21 25 Employee Benefits Office of the dependent’s status change within sixty (60) days of 22 the 26 qualifying event. Federal law shall govern COBRA eligibility for disqualified 23 dependents. 24 27 b. Employees whose marriage or domestic partnership 28 ends 25 must submit complete, sign, and file with the Employee Benefits Office a Statement copy of Dissolution the 29 statement of Termination of Marriage/Domestic Partnership through 26 the and a Benefit Change process change form to 30 report the event. 27 31 c. Employees must remove from coverage a child who 32 has 28 become ineligible by completing the a Benefit Change process. Removal of a 29 dependent that ages off form and submitting the plan does not require any action on completed 33 form to the employee’s partEmployee Benefits Office. 30 34 d. Employees who fail to remove an ineligible spouse, 31 35 domestic partner, or child within sixty (60) days of the qualifying event and have not 1 36 elected to purchase COBRA coverage for the terminated dependent will be required, 2 37 retroactive to the coverage end date, to reimburse the County sponsored health plan 3 for 38 claims incurred and paid while the former spouse, partner, or child remained 4 enrolled for 39 coverage but was no longer an eligible dependent. 5 40 e. Dependent health plan coverage ends on the last 41 day of 6 the calendar month in which the termination event occurs, examples. 7Examples: 42

Termination of Dependent Health Plan Coverage. 16 24 25 Written notice from the employee upon termination of marriage 17 or domestic partnership 26 or any other change in dependent eligibility is required. 18 Employees are responsible for timely reporting of any 27 change in the eligibility status 19 of enrolled dependent family members to the County Employee Benefits Office.. 28 20 29 a. To protect COBRA rights, employees must notify 21 Employee Benefits Office of 30 the dependent’s status change within sixty (60) days of 22 the qualifying event. Federal law shall govern COBRA 31 eligibility for disqualified 23 dependents.. 32 24 33 b. Employees whose marriage or domestic partnership ends 25 must submit complete, sign, 34 and file with the Employee Benefits Office a Statement copy of Dissolution the statement of Termination of Marriage/Domestic 35 Partnership through 26 the and a Benefit Change process change form to report the event.. 36 27 37 c. Employees must remove from coverage a child who has 28 become ineligible by 38 completing the a Benefit Change processform and submitting the completed form to the Employee Benefits Office. Removal of a 29 dependent that ages off the plan does not require any action on the employee’s part.39 30 40 d. Employees who fail to remove an ineligible spouse, 31 domestic partner, or child 41 within sixty (60) days of the qualifying event and have not 1 elected to purchase COBRA coverage for the 42 terminated dependent will be required, 2 retroactive to the coverage end date, to reimburse the County sponsored 43 health plan 3 for claims incurred and paid while the former spouse, partner, or child remained 4 enrolled for 44 coverage but was no longer an eligible dependent.. 45 5 46 e. Dependent health plan coverage ends on the last day of 6 the calendar month in 47 which the termination event occurs, examples. 7Examples: 48

Termination of Dependent Health Plan Coverage. 16 14 Written notice from the employee upon termination of marriage 17 or 15 domestic partnership or any other change in dependent eligibility is required. 18 16 Employees are responsible for timely reporting of any change in the eligibility status 19 17 of enrolled dependent family members to the County Employee Benefits Office. 20 18 a. To protect COBRA rights, employees must notify 21 19 Employee Benefits Office of the dependent’s status change within sixty (60) days of 22 20 the qualifying event. Federal law shall govern COBRA eligibility for disqualified 23 21 dependents. 24 22 b. Employees whose marriage or domestic partnership ends 25 23 must submit complete, sign, and file with the Employee Benefits Office a Statement copy of Dissolution the 24 statement of Termination of Marriage/Domestic Partnership through 26 the and a Benefit Change process 25 form to report the event. 27 26 c. Employees must remove from coverage a child who has 28 27 become ineligible because he or she is twenty-three (23) years old, or for any other 28 reason by completing a benefit Change form and submitting completed form to the Benefit Change process. Removal of a 29 dependent that ages off the plan does not require any action on the employee’s partEmployee Benefits Office. 30 d. Employees who fail to remove an ineligible spouse, 31 domestic partner, or child within sixty (60) days of the qualifying event and have not 1 elected to purchase COBRA coverage for the terminated dependent will be required, 2 retroactive to the coverage end date, to reimburse the County sponsored health plan 3 for claims incurred and paid while the former spouse, partner, or child remained 4 enrolled for coverage but was no longer an eligible dependent. 5 e. Dependent Termination of dependent health plan coverage ends on at 6 the last day end of 6 the calendar month in which the termination event occurs, examples. 7:

Termination of Dependent Health Plan Coverage. 16 Written notice from the employee upon 9 Employees must report termination of marriage 17 or domestic 10 partnership or and/or any other change in dependent eligibility is required. 18 Employees are responsible for timely reporting of any change in the eligibility status 19 of enrolled dependent family members dependents to 11 the County Employee Benefits OfficeOffice within sixty (60) days of the dependent status 12 change. 20 13 a. To protect COBRA rights, employees must notify 21 the 14 Employee Benefits Office of the dependent’s status change within sixty (60) days 15 of 22 the qualifying event. Federal law shall govern COBRA eligibility for disqualified 23 16 dependents. 24 17 b. Employees whose marriage or domestic partnership 18 ends 25 must submit a Statement the statement of Dissolution Termination of Marriage/Domestic Partnership through 26 19 and complete the Benefit Change benefit change process to sufficiently report the event. 27 20 c. Employees must remove from coverage a child who 21 has 28 become ineligible by completing the Benefit Change process. Removal of a 29 dependent that ages off the plan does not require any action on the employee’s partbenefit change. 30 22 d. Employees who fail to remove an ineligible spouse, 31 23 domestic partner, or child within sixty (60) days of the qualifying event and have 24 not 1 elected to purchase COBRA coverage for the terminated dependent will be 25 required, 2 retroactive to the coverage end date, to reimburse the County sponsored 26 health plan 3 for claims incurred and paid while the former spouse, partner, or child 27 remained 4 enrolled for coverage but was no longer an eligible dependent. 5 28 e. Dependent health plan coverage ends on the last day 29 of 6 the calendar month in which the termination event occurs, examples. 730

Termination of Dependent Health Plan Coverage. 16 10 Written notice from the employee upon termination of marriage 17 11 or domestic partnership or any other change in dependent eligibility is required. 18 12 Employees are responsible for timely reporting of any change in the eligibility status 19 13 of enrolled dependent family members to the County Employee Benefits Office. 20 14 a. To protect COBRA rights, employees must notify 21 15 Employee Benefits Office of the dependent’s status change within sixty (60) days of 22 16 the qualifying event. Federal law shall govern COBRA eligibility for disqualified 23 17 dependents. 24 18 b. Employees whose marriage or domestic partnership ends 25 19 must submit a Statement complete the statement of Dissolution Termination of Marriage/Domestic Partnership 20 through 26 the Benefit Change process to report the event. 27 21 c. Employees must remove from coverage a child who has 28 22 become ineligible by completing the Benefit Change processprocess . Removal of a 29 23 dependent that ages off the plan does not require any action on the employee’s part. 30 24 d. Employees who fail to remove an ineligible spouse, 31 25 domestic partner, or child within sixty (60) days of the qualifying event and have not 1 26 elected to purchase COBRA coverage for the terminated dependent will be required, 2 27 retroactive to the coverage end date, to reimburse the County sponsored health plan 3 28 for claims incurred and paid while the former spouse, partner, or child remained 4 29 enrolled but was no longer an eligible dependent. 5 30 e. Dependent health plan coverage ends on the last day of 6 31 the calendar month in which the termination occurs, examples. 7.

Termination of Dependent Health Plan Coverage. 16 6 Written notice from the employee upon termination of marriage 17 or 7 domestic partnership or any other change in dependent eligibility is required. 18 Employees 8 are responsible for timely reporting of any change in the eligibility status 19 of enrolled 9 dependent family members to the County Employee Benefits Office. 20 a. 10 1. To protect COBRA rights, employees must notify 21 Employee 11 Benefits Office of the dependent’s status change within sixty (60) days of 22 the qualifying 12 event. Federal law shall govern COBRA eligibility for disqualified 23 dependents. 24 b. 13 2. Employees whose marriage or domestic partnership ends 25 14 must submit complete, sign, and file with the Employee Benefits Office a Statement copy of Dissolution the statement 15 of Termination of Marriage/Domestic Partnership through 26 the Benefit Change process to report the event. 27 c. 16 3. Employees must remove from coverage a child who has 28 17 become ineligible by completing the Benefit Change process. Removal of a 29 dependent that ages off the plan does not require any action on the employee’s partbenefit change event in Workday. 30 d. 18 4. Employees who fail to remove an ineligible spouse, 31 domestic 19 partner, or child within sixty (60) days of the qualifying event and have not 1 elected to 20 purchase COBRA coverage rights for the terminated dependent will be required, 2 retroactive to the 21 coverage end date, to reimburse the County County-sponsored health plan 3 for claims incurred 22 and paid while the former spouse, partner, or child remained 4 enrolled for coverage but 23 was no longer an eligible dependent. 5 e. 24 5. Dependent health plan coverage ends on the last day of 6 the 25 calendar month in which the termination event occurs, examples. 7: 26 28 31