Common use of What is COBRA continuation coverage? Clause in Contracts

What is COBRA continuation coverage?. i. COBRA continuation coverage is a continuation of Plan coverage when it would otherwise end because of a life event. This is also called a “qualifying event.” Specific qualifying events are listed later in this notice. After a qualifying event, COBRA continuation coverage must be offered to each person who is a “qualified beneficiary.” You, your spouse, and your dependent children could become qualified beneficiaries if coverage under the Plan is lost because of the qualifying event. Under the Plan, qualified beneficiaries who elect COBRA continuation coverage must pay the entire cost for COBRA continuation coverage, plus a 2% administrative fee for the duration of the COBRA continuation coverage. ii. If you’re an employee, you’ll become a qualified beneficiary if you lose your coverage under the Plan because of the following qualifying events: 1) Your hours of employment are reduced, or 2) Your employment ends for any reason other than your gross misconduct. iii. If you’re the spouse of an employee, you’ll become a qualified beneficiary if you lose your coverage under the Plan because of the following qualifying events: 1) Your spouse dies; 2) Your spouse’s hours of employment are reduced; 3) Your spouse’s employment ends for any reason other than his or her gross misconduct; 4) Your spouse becomes entitled to Medicare benefits (under Part A, Part B, or both); or 5) You become divorced or legally separated from your spouse. iv. Your dependent children will become qualified beneficiaries if they lose coverage under the Plan because of the following qualifying events: 1) The parent-employee dies; 2) The parent-employee’s hours of employment are reduced; 3) The parent-employee’s employment ends for any reason other than his or her gross misconduct; 4) The parent-employee becomes entitled to Medicare benefits (Part A, Part B, or both); 5) The parents become divorced or legally separated; or 6) The child stops being eligible for coverage under the Plan as a “dependent child.” v. If your plan offers retiree coverage, filing a proceeding in bankruptcy under Title 11 of the United States Code can be a qualifying event. If a proceeding in bankruptcy is filed with respect to your employer, and that bankruptcy results in the loss of coverage of any retired employee covered under the Plan, the retired employee will become a qualified beneficiary. The retired employee’s spouse, surviving spouse, and dependent children will also become qualified beneficiaries if bankruptcy results in the loss of their coverage under the Plan.

Appears in 7 contracts

Samples: Medical and Hospital Service Contract, Medical and Hospital Service Contract, Medical and Hospital Service Contract With Point of Service Rider

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What is COBRA continuation coverage?. i. COBRA continuation coverage is a continuation of Plan coverage when it coverage would otherwise end because of a life event. This is also called event known as a “qualifying event.” Specific qualifying events are listed later in this notice. After a qualifying event, COBRA continuation coverage must be offered to each person who is a “qualified beneficiary.” You, your spouse, and your dependent children could become qualified beneficiaries if coverage under the Plan is lost because of the qualifying event. Under the Plan, qualified beneficiaries who elect COBRA continuation coverage must pay the entire cost for COBRA continuation coverage, plus a 2% administrative fee for the duration of the COBRA continuation coverage. ii. If you’re an employee, you’ll become a qualified beneficiary if you lose your coverage under the Plan because of the following qualifying events: 1) Your hours of employment are reduced, or 2) ; or  Your employment ends for any reason other than your gross misconduct. iii. If you’re the spouse of an employee, you’ll become a qualified beneficiary if you lose your coverage under the Plan because of the following qualifying events: 1) Your spouse dies; 2) ;  Your spouse’s hours of employment are reduced; 3) ;  Your spouse’s employment ends for any reason other than his or her gross misconduct; 4) ;  Your spouse becomes entitled to enrolled in Medicare benefits (under Part A, Part B, or both); or 5) or  You become divorced or legally separated from your spouse. iv. Your dependent children will become qualified beneficiaries if they lose coverage under the Plan because of the following qualifying events: 1) The parent-parent- employee dies; 2) ;  The parent-parent- employee’s hours of employment are reduced; 3) ;  The parent-parent- employee’s employment ends for any reason other than his or her gross misconduct; 4) ;  The parent-parent- employee becomes entitled to enrolled in Medicare benefits (Part A, Part B, or both); 5) ;  The parents become divorced or legally separated; or 6) or  The child stops being eligible for coverage under the Plan as a “dependent child.” v. If your plan offers retiree ” The Plan will offer COBRA continuation coverage to qualified beneficiaries only after the Plan Administrator has been notified that a qualifying event has occurred. When the qualifying event is the end of employment or reduction of hours of employment, death of the employee, in the event of retired employee health coverage, filing commencement of a proceeding in bankruptcy under Title 11 of the United States Code can be a qualifying event. If a proceeding in bankruptcy is filed with respect to your the employer, and that bankruptcy results in or the loss of coverage of any retired employee covered employee’s becoming entitled to Medicare benefits (under the PlanPart A, Part B, or both), the retired employee will become a qualified beneficiary. The retired employee’s spouse, surviving spouse, and dependent children will also become qualified beneficiaries if bankruptcy results in employer must notify the loss Plan Administrator of their coverage under the Planqualifying event.

Appears in 1 contract

Samples: Certificate of Coverage

What is COBRA continuation coverage?. i. COBRA continuation coverage is a continuation of Plan coverage when it coverage would otherwise end because of a life event. This is also called event known as a “qualifying event.” Specific qualifying events are listed later in this notice. After a qualifying event, COBRA continuation coverage must be offered to each person who is a “qualified beneficiary.” ”. You, your spouse, and your dependent children could become qualified beneficiaries if coverage under the Plan is lost because of the qualifying event. Under the Plan, qualified beneficiaries who elect COBRA continuation coverage must pay the entire cost for COBRA continuation coverage, plus a 2% administrative fee for the duration of the COBRA continuation coverage. ii. If you’re you are an employee, you’ll you will become a qualified beneficiary if you lose your coverage under the Plan because either one of the following qualifying events: 1) events happens: • Your hours of employment are reduced, or 2) or • Your employment ends for any reason other than your gross misconduct. iii. If you’re you are the spouse of an employee, you’ll you will become a qualified beneficiary if you lose your coverage under the Plan because any of the following qualifying events: 1) events happens: • Your spouse dies; 2) ; • Your spouse’s hours of employment are reduced; 3) ; • Your spouse’s employment ends for any reason other than his or her gross misconduct; 4) ; • Your spouse becomes entitled to Medicare benefits (under Part A, Part B, or both); or 5) or • You become divorced or legally separated from your spouse. iv. Your dependent children will become qualified beneficiaries if they lose their coverage under the Plan because any of the following qualifying events: 1) events happen: • The parent-employee dies; 2) ; • The parent-employee’s hours of employment are reduced; 3) ; • The parent-employee’s employment ends for any reason other than his or her gross misconduct; 4) ; • The parent-employee employee’s becomes entitled to Medicare benefits (under Part A, Part B, or both); 5) ; or • The parents become divorced or legally separated; or 6) : or • The child stops being eligible for coverage under the Plan plan as a “dependent child.” v. If your plan offers retiree coverage, filing a proceeding in bankruptcy under Title 11 of the United States Code can be a qualifying event. If a proceeding in bankruptcy is filed with respect to your employer, and that bankruptcy results in the loss of coverage of any retired employee covered under the Plan, the retired employee will become a qualified beneficiary. The retired employee’s spouse, surviving spouse, and dependent children will also become qualified beneficiaries if bankruptcy results in the loss of their coverage under the Plan.

Appears in 1 contract

Samples: Collective Negotiations Agreement

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What is COBRA continuation coverage?. i. COBRA continuation coverage is a continuation of Plan coverage when it coverage would otherwise end because of a life event. This is also called event known as a “qualifying event.” Specific qualifying events are listed later in this notice. After a qualifying event, COBRA continuation coverage must be offered to each person who is a “qualified beneficiary.” You, your spouse, and your dependent children could become qualified beneficiaries if coverage under the Plan is lost because of the qualifying event. Under the Plan, qualified beneficiaries who elect COBRA continuation coverage must pay the entire cost for COBRA continuation coverage, plus a 2% administrative fee for the duration of the COBRA continuation coverage. ii. If you’re an employee, you’ll become a qualified beneficiary if you lose your coverage under the Plan because of the following qualifying events: 1) Your hours of employment are reduced, or 2) ; or • Your employment ends for any reason other than your gross misconduct. iii. If you’re the spouse of an employee, you’ll become a qualified beneficiary if you lose your coverage under the Plan because of the following qualifying events: 1) Your spouse dies; 2) ; • Your spouse’s hours of employment are reduced; 3) ; • Your spouse’s employment ends for any reason other than his or her gross misconduct; 4) ; • Your spouse becomes entitled to enrolled in Medicare benefits (under Part A, Part B, or both); or 5) or • You become divorced or legally separated from your spouse. iv. Your dependent children will become qualified beneficiaries if they lose coverage under the Plan because of the following qualifying events: 1) The parent-employee dies; 2) ; • The parent-employee’s hours of employment are reduced; 3) ; • The parent-employee’s employment ends for any reason other than his or her gross misconduct; 4) ; • The parent-employee becomes entitled to enrolled in Medicare benefits (Part A, Part B, or both); 5) ; • The parents become divorced or legally separated; or 6) or • The child stops being eligible for coverage under the Plan as a “dependent child.” v. If your plan offers retiree ” The Plan will offer COBRA continuation coverage to qualified beneficiaries only after the Plan Administrator has been notified that a qualifying event has occurred. When the qualifying event is the end of employment or reduction of hours of employment, death of the employee, in the event of retired employee health coverage, filing commencement of a proceeding in bankruptcy under Title 11 of the United States Code can be a qualifying event. If a proceeding in bankruptcy is filed with respect to your the employer, and that bankruptcy results in or the loss of coverage of any retired employee covered employee’s becoming entitled to Medicare benefits (under the PlanPart A, Part B, or both), the retired employee will become a qualified beneficiary. The retired employee’s spouse, surviving spouse, and dependent children will also become qualified beneficiaries if bankruptcy results in employer must notify the loss Plan Administrator of their coverage under the Planqualifying event.

Appears in 1 contract

Samples: Certificate of Coverage

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