Page 10 - Nortek Legal Notices
P. 10
Legal
Notices
Model General Notice You may have other options available to you when you lose group health
of COBRA Continuation coverage. For example, you may be eligible to buy an individual plan through the
Health Insurance Marketplace . By enrolling in coverage through the Marketplace,
Coverage Rights you may qualify for lower costs on your monthly premiums and lower out-of-pocket
** Continuation Coverage costs . Additionally, you may qualify for a 30-day special enrollment period for
Rights Under COBRA** another group health plan for which you are eligible (such as a spouse’s plan), even
if that plan generally doesn’t accept late enrollees .
Introduction
You’re getting this notice because you What is COBRA Continuation Coverage?
recently gained coverage under a group COBRA continuation coverage is a continuation of Plan coverage when it would
health plan (the Plan) . This notice has otherwise end because of a life event . This is also called a “qualifying event .”
important information about your right to Speciic qualifying events are listed later in this notice. After a qualifying event,
COBRA continuation coverage, which is a COBRA continuation coverage must be offered to each person who is a “qualiied
temporary extension of coverage under beneiciary.” You, your spouse, and your dependent children could become qualiied
the Plan . This notice explains COBRA beneiciaries if coverage under the Plan is lost because of the qualifying event.
continuation coverage, when it may Under the Plan, qualiied beneiciaries who elect COBRA continuation coverage
become available to you and your must pay for COBRA continuation coverage .
family, and what you need to do to
protect your right to get it. When you If you’re an employee, you’ll become a qualiied beneiciary if you lose your
become eligible for COBRA, you may also coverage under the Plan because of the following qualifying events:
become eligible for other coverage options X Your hours of employment are reduced; or
that may cost less than COBRA continuation X
coverage . Your employment ends for any reason other than your gross misconduct
If you’re the spouse of an employee, you’ll become a qualiied beneiciary if you
The right to COBRA continuation coverage
was created by a federal law, the lose your coverage under the Plan because of the following qualifying events:
Consolidated Omnibus Budget Reconciliation X Your spouse dies;
Act of 1985 (COBRA) . COBRA continuation X Your spouse’s hours of employment are reduced;
coverage can become available to you and X
other members of your family when group Your spouse’s employment ends for any reason other than his or her gross
health coverage would otherwise end . For misconduct;
more information about your rights and X Your spouse becomes entitled to Medicare beneits (under Part A, Part B, or
obligations under the Plan and under federal both); or
law, you should review the Plan’s Summary X You become divorced or legally separated from your spouse
Plan Description or contact the Plan
Administrator . Your dependent children will become qualiied beneiciaries if they lose coverage
under the Plan because of the following qualifying events:
X The parent-employee dies;
X The parent-employee’s hours of employment are reduced;
X The parent-employee’s employment ends for any reason other than his or her
gross misconduct;
X The parent-employee becomes entitled to Medicare beneits (Part A, Part B, or
both);
10
Notices
Model General Notice You may have other options available to you when you lose group health
of COBRA Continuation coverage. For example, you may be eligible to buy an individual plan through the
Health Insurance Marketplace . By enrolling in coverage through the Marketplace,
Coverage Rights you may qualify for lower costs on your monthly premiums and lower out-of-pocket
** Continuation Coverage costs . Additionally, you may qualify for a 30-day special enrollment period for
Rights Under COBRA** another group health plan for which you are eligible (such as a spouse’s plan), even
if that plan generally doesn’t accept late enrollees .
Introduction
You’re getting this notice because you What is COBRA Continuation Coverage?
recently gained coverage under a group COBRA continuation coverage is a continuation of Plan coverage when it would
health plan (the Plan) . This notice has otherwise end because of a life event . This is also called a “qualifying event .”
important information about your right to Speciic qualifying events are listed later in this notice. After a qualifying event,
COBRA continuation coverage, which is a COBRA continuation coverage must be offered to each person who is a “qualiied
temporary extension of coverage under beneiciary.” You, your spouse, and your dependent children could become qualiied
the Plan . This notice explains COBRA beneiciaries if coverage under the Plan is lost because of the qualifying event.
continuation coverage, when it may Under the Plan, qualiied beneiciaries who elect COBRA continuation coverage
become available to you and your must pay for COBRA continuation coverage .
family, and what you need to do to
protect your right to get it. When you If you’re an employee, you’ll become a qualiied beneiciary if you lose your
become eligible for COBRA, you may also coverage under the Plan because of the following qualifying events:
become eligible for other coverage options X Your hours of employment are reduced; or
that may cost less than COBRA continuation X
coverage . Your employment ends for any reason other than your gross misconduct
If you’re the spouse of an employee, you’ll become a qualiied beneiciary if you
The right to COBRA continuation coverage
was created by a federal law, the lose your coverage under the Plan because of the following qualifying events:
Consolidated Omnibus Budget Reconciliation X Your spouse dies;
Act of 1985 (COBRA) . COBRA continuation X Your spouse’s hours of employment are reduced;
coverage can become available to you and X
other members of your family when group Your spouse’s employment ends for any reason other than his or her gross
health coverage would otherwise end . For misconduct;
more information about your rights and X Your spouse becomes entitled to Medicare beneits (under Part A, Part B, or
obligations under the Plan and under federal both); or
law, you should review the Plan’s Summary X You become divorced or legally separated from your spouse
Plan Description or contact the Plan
Administrator . Your dependent children will become qualiied beneiciaries if they lose coverage
under the Plan because of the following qualifying events:
X The parent-employee dies;
X The parent-employee’s hours of employment are reduced;
X The parent-employee’s employment ends for any reason other than his or her
gross misconduct;
X The parent-employee becomes entitled to Medicare beneits (Part A, Part B, or
both);
10
