Change in Elections
Once you elect coverage under this Plan, you may not change your coverage until the beginning of the next Plan year, unless coverage under the applicable benefit plan is significantly curtailed or ceases or unless you experience a "change in family status." If coverage under the applicable benefit plan is significantly curtailed or ceases, you may revoke your election under the applicable benefit plan and make a new election for the remaining period of coverage within 30 days (31 days if required by state law) after you receive notification of the curtailment of benefits from the Administrator. However, if the cost of the applicable benefit plans changes, you will not be entitled to revoke your election to receive such benefits and your contributions will be automatically adjusted to reflect the change in cost. If an increase in cost is considered a “ significant cost change ” , you may be allowed to make changes in that plans elections such as revoking your election to participate. If you experience a change in family status, you may modify your coverage under the Plan, consistent in family status. The following events are considered "changes in family status" for purposes of the applicable benefit plan: • Your marriage; • Your divorce, legal separation or annulment of your marriage; • The death of your spouse or a dependent; • The birth, adoption or placement for adoption of a child; • Your dependent satisfies (or ceases to satisfy) dependent eligibility requirement under an applicable benefit plan of the Company; • A change in coverage under another employer's plan for your spouse or dependent; • The taking of or return from an unpaid leave of absence by you, your spouse or a dependent; • The change in the place of residence or work of you, your spouse or a dependent; • The change in the schooling or status of your spouse or a dependent for Plan purposes; • The issuance of a judgment, decree or order resulting from a divorce, legal separation, annulment or change in legal custody (including a qualified medical child support order) that requires health coverage for a child either by you or your former spouse, but only if the event affects your need to be reimbursed for medical expenses on a pre-tax basis; • The entitlement (or cessation of entitlement) to Medicare or Medicaid of you, your spouse or your dependent; • A change in employment status from a position in which you were reasonably expected to work at least 30 hours per week to a position in which you are reasonably expected to work less than 30 hours per week together with your expected enrollment in other group health coverage. • An election of coverage under a qualified health plan in a marketplace during a special enrollment period or a marketplace's annual open enrollment; or • The open enrollment period for coverage under the Participant's spouse's plan or Participant's dependent's plan occurs while the Participant's elections are in effect. To revoke an existing election and make a new election because of a change in family status, you must complete and deliver a new election form within thirty (30) days after the change in family status. The new coverage will generally be effective only prospectively.
Period of Coverage
The period of coverage under this Plan with respect to a Plan year will end the earlier of:
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VER 7-1-2023
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