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

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

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

Termination of Dependent Health Plan Coverage. 8 31 Written notice from the employee upon termination of marriage 11 or domestic 32 partnership or any other change in dependent eligibility is required. Employees are 33 responsible for timely reporting of any change in the eligibility status of enrolled dependent 34 family members to the County Employee Benefits Office. 12 1 a. To protect COBRA rights, employees must notify 13 Employee Benefits Office of the dependent’s status change within sixty (60) days of 14 the qualifying 3 event. Federal law shall govern COBRA eligibility for disqualified 15 dependents. 16 4 b. Employees whose marriage or domestic partnership ends 17 must 5 complete, sign, and file with the Employee Benefits Office a copy of the 18 statement of 6 Termination of Marriage/Domestic Partnership and a Benefit Change 19 change form to report the event. 20 7 c. Employees must remove from coverage a child who has 21 8 become ineligible by completing a Benefit Change form and submitting the completed 22 form to 9 the Employee Benefits Office. 23 10 d. Employees who fail to remove an ineligible spouse, 24 domestic 11 partner, or child within sixty (60) days of the qualifying event and have not 25 elected to 12 purchase COBRA coverage for the terminated dependent will be required, 26 retroactive to the 13 coverage end date, to reimburse the County sponsored health plan 27 for claims incurred and 14 paid while the former spouse, partner, or child remained 28 enrolled for coverage but was no 15 longer an eligible dependent. 29 16 e. Dependent Termination of dependent health plan coverage ends on the 17 last day of 30 the calendar month in which the termination event occurs, examples. 31 : 18 Divorce End of month divorce became final Dissolution of Oregon State registered domestic partnership End of month became final 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 Child reaches dependent age maximum dependent ages End of the month that maximum age birth date occurs

Termination of Dependent Health Plan Coverage. 8 31 Written notice from the employee upon termination of marriage 11 or domestic 32 partnership or any other change in dependent eligibility is required. Employees are 33 responsible for timely reporting of any change in the eligibility status of enrolled dependent 34 family members to the County Employee Benefits Office. 12 1 a. To protect COBRA rights, employees must notify 13 Employee Benefits Office of the dependent’s status change within sixty (60) days of 14 the qualifying 3 event. Federal law shall govern COBRA eligibility for disqualified 15 dependents. 16 4 b. Employees whose marriage or domestic partnership ends 17 must 5 complete, sign, and file with the Employee Benefits Office a copy of the 18 statement of 6 Termination of Marriage/Domestic Partnership and a Benefit Change 19 change form to report the event. 20 7 c. Employees must remove from coverage a child who has 21 8 become ineligible by completing a Benefit Change form and submitting the completed 22 form to 9 the Employee Benefits Office. 23 10 d. Employees who fail to remove an ineligible spouse, 24 domestic 11 partner, or child within sixty (60) days of the qualifying event and have not 25 elected to 12 purchase COBRA coverage for the terminated dependent will be required, 26 retroactive to the 13 coverage end date, to reimburse the County sponsored health plan 27 for claims incurred and 14 paid while the former spouse, partner, or child remained 28 enrolled for coverage but was no 15 longer an eligible dependent. 29 16 e. Dependent Termination of dependent health plan coverage ends on the 17 last day of 30 the calendar month in which the termination event occurs, examples. 31 : 18 Divorce End of month divorce became final Dissolution of Oregon State registered domestic partnership End of month dissolution of partnership becomes final. became final Dissolution of domestic partnership initiated by Affidavit or Multnomah County registry End of month that partner moved out of shared residence Childs Child reaches maximum dependent ages age End of the month that maximum age birth date occurs

Termination of Dependent Health Plan Coverage. 8 Written notice from the employee upon 23 Employees must report termination of marriage 11 or domestic 24 partnership or any other change in dependent eligibility status of enrolled dependent family members dependents to 25 the County Employee Benefits Office.Office within sixty (60) days of the dependent status 12 27 a. To protect COBRA rights, employees must notify 13 the 28 Employee Benefits Office of the dependent’s status change within sixty (60) days of 14 the 29 qualifying event. Federal law shall govern COBRA eligibility for disqualified 15 dependents. 16 30 b. Employees whose marriage or domestic partnership ends 17 31 must complete, sign, and file with the Employee Benefits Office submit a copy of the 18 statement Statement of Termination of Marriage/Domestic Partnership and a Benefit Change 19 form 1 complete the benefit change process to sufficiently report the event. 20 2 c. Employees must remove from coverage a child who has 21 3 become ineligible by completing a Benefit Change form and submitting the completed 22 form to the Employee Benefits Officebenefit change process. 23 4 d. Employees who fail to remove an ineligible spouse, 24 domestic 5 partner, or child within sixty (60) days of the qualifying event and have not 25 elected to 6 purchase COBRA coverage for the terminated dependent will be required, 26 retroactive to 7 the coverage end date, to reimburse the County sponsored health plan 27 for claims incurred 8 and paid while the former spouse, partner, or child remained 28 enrolled for coverage but 9 was no longer an eligible dependent. 29 10 e. Dependent health plan coverage ends on the last day of 30 the 11 calendar month in which the termination event occurs, examples. 31 Examples: 12 Divorce End of month divorce became final Dissolution of State of Oregon State registered domestic partnership Registered Domestic Partnership End of month dissolution of partnership becomes final. became final Dissolution of domestic partnership Domestic Partnership initiated by Affidavit or of Multnomah County registry Registry End of month that partner moved out of shared residence Childs Child reaches maximum dependent ages age End of the month that maximum age birth date occurs