Page 17 - 2020 Goodwill Benefits Guide
P. 17
2020
Legal Notices
What is COBRA continuation coverage? When is COBRA
COBRA continuation coverage is a continuation of Plan coverage when it would continuation coverage
otherwise end because of a life event. This is also called a “qualifying event.” Speciic available?
qualifying events are listed later in this notice. After a qualifying event, COBRA The Plan will ofer COBRA continuation
continuation coverage must be ofered to each person who is a “qualiied beneiciary.” coverage to qualiied beneiciaries only
You, your spouse, and your dependent children could become qualiied beneiciaries after the Plan Administrator has been
if coverage under the Plan is lost because of the qualifying event. Under the Plan, notiied that a qualifying event has
qualiied beneiciaries who elect COBRA continuation coverage must pay for COBRA occurred. The employer must notify
continuation coverage. If you’re an employee, you’ll become a qualiied beneiciary if the Plan Administrator of the following
you lose your coverage under the Plan because of the following qualifying events: qualifying events:
Your hours of employment are reduced, or The end of employment or reduction
Your employment ends for any reason other than your gross misconduct. of hours of employment;
Death of the employee;
If you’re the spouse of an employee, you’ll become a qualiied beneiciary if you lose
your coverage under the Plan because of the following qualifying events: The employee’s becoming entitled
to Medicare beneits (under Part A,
Your spouse dies; Part B, or both).
Your spouse’s hours of employment are reduced; For all other qualifying events (divorce
Your spouse’s employment ends for any reason other than his or her gross or legal separation of the employee
misconduct; and spouse or a dependent child’s
Your spouse becomes entitled to Medicare beneits (under Part A, Part B, or losing eligibility for coverage as a
both); or dependent child), you must notify the
You become divorced or legally separated from your spouse. Plan Administrator within 60 days after
the qualifying event occurs. You must
Your dependent children will become qualiied beneiciaries if they lose coverage under provide this notice to Human Resources.
the Plan because of the following qualifying events:
The parent-employee dies;
The parent-employee’s hours of employment are reduced;
The parent-employee’s employment ends for any reason other than his or her
gross misconduct;
The parent-employee becomes entitled to Medicare beneits (Part A, Part B, or
both);
The parents become divorced or legally separated; or
The child stops being eligible for coverage under the Plan as a “dependent child.”
17
Legal Notices
What is COBRA continuation coverage? When is COBRA
COBRA continuation coverage is a continuation of Plan coverage when it would continuation coverage
otherwise end because of a life event. This is also called a “qualifying event.” Speciic available?
qualifying events are listed later in this notice. After a qualifying event, COBRA The Plan will ofer COBRA continuation
continuation coverage must be ofered to each person who is a “qualiied beneiciary.” coverage to qualiied beneiciaries only
You, your spouse, and your dependent children could become qualiied beneiciaries after the Plan Administrator has been
if coverage under the Plan is lost because of the qualifying event. Under the Plan, notiied that a qualifying event has
qualiied beneiciaries who elect COBRA continuation coverage must pay for COBRA occurred. The employer must notify
continuation coverage. If you’re an employee, you’ll become a qualiied beneiciary if the Plan Administrator of the following
you lose your coverage under the Plan because of the following qualifying events: qualifying events:
Your hours of employment are reduced, or The end of employment or reduction
Your employment ends for any reason other than your gross misconduct. of hours of employment;
Death of the employee;
If you’re the spouse of an employee, you’ll become a qualiied beneiciary if you lose
your coverage under the Plan because of the following qualifying events: The employee’s becoming entitled
to Medicare beneits (under Part A,
Your spouse dies; Part B, or both).
Your spouse’s hours of employment are reduced; For all other qualifying events (divorce
Your spouse’s employment ends for any reason other than his or her gross or legal separation of the employee
misconduct; and spouse or a dependent child’s
Your spouse becomes entitled to Medicare beneits (under Part A, Part B, or losing eligibility for coverage as a
both); or dependent child), you must notify the
You become divorced or legally separated from your spouse. Plan Administrator within 60 days after
the qualifying event occurs. You must
Your dependent children will become qualiied beneiciaries if they lose coverage under provide this notice to Human Resources.
the Plan because of the following qualifying events:
The parent-employee dies;
The parent-employee’s hours of employment are reduced;
The parent-employee’s employment ends for any reason other than his or her
gross misconduct;
The parent-employee becomes entitled to Medicare beneits (Part A, Part B, or
both);
The parents become divorced or legally separated; or
The child stops being eligible for coverage under the Plan as a “dependent child.”
17
