CONTINUATION OF INSURANCE PROVISIONS
If an Employee is no longer in Active Service, coverage may be continued. The following provisions explain the continuation options available under this Policy. Please see the Schedule of Benefits , to determine the applicability of these benefits on a class level. Notwithstanding any other provision of this Policy, if an Employee’s Active Service ends due to termination of employment, or any other termination of the employment relationship, coverage will terminate and Continuation of Insurance under this section will not apply.
Continuation for Leave of Absence or Family Medical Leave
If an Employee’s Active Service ends due to personal or family medical leave approved timely by the Employer, coverage will continue for up to the Maximum Benefit Period as shown in the Schedule of Benefits . Premiums are required for this coverage and are to be remitted directly to the Subscriber. If an Employee’s Active Service ends due to any other leave of absence approved in writing by the Employer prior to the date the Employee ceases work, coverage will continue up to the Maximum Benefit Period as shown in the Schedule of Benefits . Premiums are required for this coverage and are to be remitted directly to the Subscriber. An approved leave of absence does not include Furlough, Temporary Layoff or termination of employment.
PORTABILITY PROVISIONS
Coverage provided by this Policy is portable, except as provided for specific benefits or coverages, for an Employee for whom all eligibility ends under this Policy as shown in the Schedule of Benefits and satisfies all of the conditions below.
Whose Insurance is Portable A covered Employee who: 2.
has not attained the Maximum Age for Portability shown in the Schedule of Benefits ; 3. applies and agrees to pay required premiums, may remain covered under this Policy for the Portable Period shown in the Schedule of Benefits.
Any Spouse or Dependent Child coverage provided under the covered Employee’s Certificate is portable when the Employee ports His coverage.
A covered Spouse who: 1.
has not attained the Maximum Age for Portability shown in the Schedule of Benefits ; 2. applies and agrees to pay required premiums, may remain covered under a Certificate issued to Him while this Policy remains in force for the Portable Period shown in the Schedule of Benefits . Any Dependent Child coverage provided under the Spouse’s Certificate is portable when the Spouse ports His coverage. A covered Dependent Child who: 1. has been covered under the Employee’s or Spouse’s Certificate that remains in force; 2. applies and agrees to pay required premiums, may remain covered under a Certificate issued to Him while this Policy remains in force for the Portable Period shown in the Schedule of Benefits . Amount of Portable Insurance The amount of portable coverage is shown in the Schedule of Benefits and will be subject to the provisions of the Policy that reduce the coverage amount because of age, retirement, or a change in class. Any additional coverages and benefits for which the Covered Person was insured are portable only if shown in the Schedule of Benefits. Effective Date of Ported Insurance Ported insurance will become effective under this section on the date the Covered Person’s coverage under the Policy would otherwise have terminated, as described above, if the Covered Person has applied and agreed to pay required
17
Made with FlippingBook - PDF hosting