Exhaustion of continuation coverage definition

Exhaustion of continuation coverage means that an individual’s continuation coverage ceases for any reason other than either failure of the individual to pay premiums on a timely basis, or for cause such as making a fraudulent claim or an intentional misrepresentation of a material fact in connection with the plan. An individual is considered to have exhausted continuation coverage if:
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Exhaustion of continuation coverage means that an individual’s continu- ation coverage ceases for any reason other than either failure of the indi- vidual to pay premiums on a timely basis, or for cause (such as making a fraudulent claim or an intentional mis- representation of a material fact in connection with the plan). An indi- vidual is considered to have exhausted continuation coverage if—
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Examples of Exhaustion of continuation coverage in a sentence

  • When the individual incurs a claim that would meet or exceed a life- time limit on all benefits and there is no other COBRA continuation coverage available to the individual.(6) Exhaustion of continuation coverage means that an individual’s continu- ation coverage ceases for any reason other than either failure of the indi- vidual to pay premiums on a timely basis, or for cause (such as making a fraudulent claim or an intentional mis- representation of a material fact in connection with the plan).

  • When the individual incurs a claim that would meet or exceed a lifetime limit on all benefits and there is no other COBRA continuation coverage available to the individual.(6) Exhaustion of continuation coverage means that an individual’s continuation coverage ceases for any reason other than either failure of the individual to pay premiums on a timely basis, or for cause (such as making a fraudulent claim or an intentional misrepresentation of a material fact in connection with the plan).

  • When the individual incurs aclaim that would meet or exceed a life- time limit on all benefits and there is no other COBRA continuation coverage available to the individual.(6) Exhaustion of continuation coverage means that an individual’s continu- ation coverage ceases for any reason other than either failure of the indi- vidual to pay premiums on a timely basis, or for cause (such as making a fraudulent claim or an intentional mis- representation of a material fact in connection with the plan).

Related to Exhaustion of continuation coverage

  • Continuation Coverage means coverage under a COBRA continuation provision or a similar state program. Coverage provided by a plan that is subject to a COBRA continuation provision or similar state program, but that does not satisfy all the requirements of that provision or program, will be deemed to be continuation coverage if it allows an individual to elect to continue coverage for a period of at least 18 months. Continuation coverage does not include coverage under a conversion policy required to be offered to an individual upon exhaustion of continuation coverage, nor does it include continuation coverage under the Federal Employees Health Benefits Program.

  • Conversion/Continuation Notice is defined in Section 2.9.

  • Notice of Continuation/Conversion has the meaning specified in Section 2.2(b).

  • Continuation Notice as defined in Section 2.17(a).

  • Continuation Period shall have the meaning set forth in Section 6.9(a).

  • Continuation and “Continued” each refers to the continuation of a LIBOR Loan from one Interest Period to another Interest Period pursuant to Section 2.9.

  • Death Benefit means the insurance amount payable under the Certificate at death of the Insured, subject to all Certificate provisions dealing with changes in the amount of insurance and reductions or termination for age or retirement. It does not include any amount that is only payable in the event of Accidental Death.

  • retirement annuity contract means a contract or scheme approved under Chapter III of Part XIV of the Income and Corporation Taxes Act 1988;

  • Notice of Conversion/Continuation has the meaning assigned thereto in Section 5.2.

  • Coordination of Benefits or “COB” means a provision establishing an order in which plans pay their claims, and permitting secondary plans to reduce their benefits so that the combined benefits of all plans do not exceed total allowable expenses.

  • Discontinuation Event means (i) when the Commission notifies the Company whether there will be a “review” of such Registration Statement and whenever the Commission comments in writing on such Registration Statement (the Company shall provide true and complete copies thereof and all written responses thereto to each of the Holders); (ii) any request by the Commission or any other Federal or state governmental authority for amendments or supplements to such Registration Statement or Prospectus or for additional information; (iii) the issuance by the Commission of any stop order suspending the effectiveness of such Registration Statement covering any or all of the Registrable Securities or the initiation of any Proceedings for that purpose; (iv) the receipt by the Company of any notification with respect to the suspension of the qualification or exemption from qualification of any of the Registrable Securities for sale in any jurisdiction, or the initiation or threatening of any Proceeding for such purpose; and/or (v) the occurrence of any event or passage of time that makes the financial statements included in such Registration Statement ineligible for inclusion therein or any statement made in such Registration Statement or Prospectus or any document incorporated or deemed to be incorporated therein by reference untrue in any material respect or that requires any revisions to such Registration Statement, Prospectus or other documents so that, in the case of such Registration Statement or Prospectus, as the case may be, it will not contain any untrue statement of a material fact or omit to state any material fact required to be stated therein or necessary to make the statements therein, in light of the circumstances under which they were made, not misleading.