Qualifying Event means an event that gives rise to Continuation Coverage, depending upon whether the Qualified Beneficiary is the covered employee/former employee/retiree, or a Family Member. The term “placed for adoption” includes an adoption without a preceding placement. The COBRA period for such a child is measured from the same date as for other Family Members arising from the Qualifying Event, not from the date the child became enrolled in Continuation Coverage. As an exception, an eligible dependent child who is born or placed for adoption with a covered employee/former employee/retiree during a period of Continuation Coverage immediately becomes a Qualified Beneficiary. In general, all individuals must have health coverage on the day before a Qualifying Event in order to be a Qualified Beneficiary. Qualified Beneficiary may refer to the covered employee, covered former employee, or retiree, or that individual’s covered spouse, domestic partner, or dependent child (collectively “Family Members”) who has continuation rights with respect to a Qualifying Event. Eligibility for Continuation Coverage LinkĪ “Qualified Beneficiary” is a person who has a right to enroll in Continuation Coverage following a Qualifying Event. For important information regarding notification procedures, please read Section V. Syracuse University, or its designee, will notify you of your right to continue your coverage, once notice has been received that a Qualifying Event triggering that right has occurred. In the event that you are no longer covered under a group health plan component of the Syracuse University Medical Benefits Plan, the Syracuse University Retiree Medical Benefits Plan, the Syracuse University Retiree Prescription Drug Plan, the Syracuse University Dental and Vision Benefits Plan, or the Syracuse University Cafeteria Plan and Summary Plan Description (each containing a “Group Health Plan” which as used herein refers to the individual active or retiree medical, dental/vision, and/or health care flexible spending account benefit to which you are enrolled, with eligibility determined by each individual plan document), you will have the opportunity for a temporary extension of Group Health Plan coverage (called “Continuation Coverage”) if your coverage terminates for one of the reasons specified below (commonly known as a “Qualifying Event”). When you become eligible for COBRA, you may also become eligible for other coverage options that may cost less than COBRA continuation coverage. This notice explains COBRA continuation coverage, when it may become available to you and your family, and what you need to do to protect your right to get it. By law, COBRA continuation coverage is a temporary extension of coverage under a Group Health Plan. This notice summarizes important information about your rights and obligations with regard to continuation coverage under the Consolidated Omnibus Budget Reconciliation Act of 1985, as amended (commonly known as “COBRA”).
0 Comments
Leave a Reply. |
AuthorWrite something about yourself. No need to be fancy, just an overview. ArchivesCategories |