LEGAL NOTICES
COBRA
If you’re the spouse of an employee, you’ll become a qualified beneficiary if you lose your coverage under the Plan because o f the
following qualifying events:
•
Your spouse dies;
• Your spouse’s hours of employment are reduced;
• Your spouse’s employment ends for any reason other than his or her gross misconduct;
• Your spouse becomes entitled to Medicare benefits (under Part A, Part B, or both); or
• You become divorced or legally separated from your spouse.
Your dependent children will become qualified beneficiaries if they lose coverage under the Plan because of the following qualifying
events:
•
The parent-employee dies;
• The parent- employee’s hours of employment are reduced;
• The parent- employee’s employment ends for any reason other than his or her gross misconduct;
• The parent-employee becomes entitled to Medicare benefits (Part A, Part B, or both);
• The parents become divorced or legally separated; or
• The child stops being eligible for coverage under the Plan as a “dependent child.”
When is COBRA continuation coverage available?
The Plan will offer COBRA continuation coverage to qualified beneficiaries only after the Plan Administrator has been notified that a
qualifying event has occurred. The employer must notify the Plan Administrator of the following qualifying events:
• The end of employment or reduction of hours of employment;
•
Death of the employee;
• The employee’s becoming entitled to Medicare benefits (under Part A, Part B, or both).
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MOTHER BENEFITS GUIDE
LEGAL NOTICES I
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