Page 10 - 2016 Nortek Legal Notices
P. 10
10





You may have other options available „ Your spouse’s employment ends for any reason other than his or her gross
to you when you lose group health misconduct;
coverage. For example, you may be „ Your spouse becomes entitled to Medicare beneits (under Part A, Part B, or
eligible to buy an individual plan through both); or
the Health Insurance Marketplace.
By enrolling in coverage through the „ You become divorced or legally separated from your spouse
Marketplace, you may qualify for lower
costs on your monthly premiums and Your dependent children will become qualiied beneiciaries if they lose coverage
lower out-of-pocket costs. Additionally, under the Plan because of the following qualifying events:
you may qualify for a 30-day special „ The parent-employee dies;
enrollment period for another group „ The parent-employee’s hours of employment are reduced;
health plan for which you are eligible
(such as a spouse’s plan), even if that „ The parent-employee’s employment ends for any reason other than his or her
plan generally doesn’t accept late gross misconduct;
enrollees. „ The parent-employee becomes entitled to Medicare beneits (Part A, Part B, or
both);
What is COBRA „ The parents become divorced or legally separated; or
Continuation Coverage? „ The child stops being eligible for coverage under the Plan as a “dependent child”

COBRA continuation coverage is a
continuation of Plan coverage when it When is COBRA Continuation Coverage Available?
would otherwise end because of a life The Plan will offer COBRA continuation coverage to qualiied beneiciaries only after
event. This is also called a “qualifying the Plan Administrator has been notiied that a qualifying event has occurred. The
event.” Speciic qualifying events employer must notify the Plan Administrator of the following qualifying events:
are listed later in this notice. After a „ The end of employment or reduction of hours of employment;
qualifying event, COBRA continuation
coverage must be offered to each person „ Death of the employee;
who is a “qualiied beneiciary.” You, your „ The employee’s becoming entitled to Medicare beneits (under Part A, Part B, or
spouse, and your dependent children both)
could become qualiied beneiciaries if
coverage under the Plan is lost because
of the qualifying event. Under the Plan, Important
qualiied beneiciaries who elect COBRA For the other qualifying events (divorce or legal separation of the employee and
continuation coverage must pay for spouse or an eligible child’s losing eligibility for coverage as an eligible child), you or
COBRA continuation coverage. someone on your behalf must notify the Plan Administrator or its designee in writing
within 60 days after the qualifying event occurs, using the procedures speciied below.
If you’re an employee, you’ll become If these procedures are not followed or if the notice is not provided in writing to the
a qualiied beneiciary if you lose your Plan Administrator or its designee during the 60-day notice period, any spouse or
coverage under the Plan because of the eligible child who loses coverage will not be offered the option to elect continuation
following qualifying events: coverage.
„ Your hours of employment are
reduced; or How is COBRA Continuation Coverage Provided?
„ Your employment ends for any Once the Plan Administrator receives notice that a qualifying event has occurred,
reason other than your gross COBRA continuation coverage will be offered to each of the qualiied beneiciaries.
misconduct Each qualiied beneiciary will have an independent right to elect COBRA continuation
coverage. Covered employees may elect COBRA continuation coverage on behalf of
If you’re the spouse of an employee, their spouses, and parents may elect COBRA continuation coverage on behalf of their
you’ll become a qualiied beneiciary children.
if you lose your coverage under the
Plan because of the following qualifying COBRA continuation coverage is a temporary continuation of coverage that generally
events: lasts for 18 months due to employment termination or reduction of hours of work.
„ Your spouse dies; Certain qualifying events, or a second qualifying event during the initial period of
coverage, may permit a beneiciary to receive a maximum of 36 months of coverage.
„ Your spouse’s hours of employment
are reduced; There are also ways in which this 18-month period of COBRA continuation coverage
can be extended.

Nortek
   5   6   7   8   9   10   11   12