SECTION 3 - ELIGIBILITY AND EFFECTIVE DATES (Continued)
What Happens to Your Coverage During a Family and Medical Leave? Your coverage may be continued under this plan for an approved family or medical leave of absence for up to 12 weeks following the date coverage would have terminated, subject to the following: 1. the authorized leave is in writing; 2. the required premium is paid; 3. your benefit level, or the amount of earnings upon which your benefit may be based, will be that in effect on the date before the leave begins; and 4. continuation of coverage will cease immediately if any one of the following events should occur:
a. you return to work; b. this plan terminates; c. you are no longer in an eligible class; d. nonpayment of premium when due by the Sponsor or you; e. your employment terminates.
Family and Medical Leave Eligibility and Effective Dates
ADOC-ELG-7
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