Page 25 - Great Circle 2021 Benefits Guide
P. 25
2021
Legal Notices
Your dependent children will become qualiied beneiciaries How is COBRA Coverage Provided?
if they will lose coverage under the Plan because any of the Once the Plan Administrator receives notice that a qualifying
following qualifying events happens: event has occurred, COBRA continuation coverage will be
1 . The parent-employee dies; ofered to each of the qualiied beneiciaries. Each qualiied
2 . The parent-employee’s hours of employment are reduced; beneiciary will have an independent right to elect COBRA
3 . The parent-employee’s employment ends for any reason continuation coverage. Covered employees may elect COBRA
continuation coverage on behalf of their spouses, and parents
other than his or her gross misconduct; may elect COBRA continuation coverage on behalf of their
4 . The parent-employee becomes enrolled in Medicare (Part children.
A, Part B, or both);
5 . The parents become divorced or legally separated; or COBRA continuation coverage is a temporary continuation of
coverage that generally lasts for 18 months due to employment
6 . The child stops being eligible for coverage under the plan termination or reduction of hours of work. Certain qualifying
as a “dependent child.” events, or a second qualifying event during the initial period of
Sometimes, iling a proceeding in bankruptcy under title 11 coverage, may permit a beneiciary to receive a maximum of 36
of the United States Code can be a qualifying event. If a months of coverage.
proceeding in bankruptcy is iled and that bankruptcy results in There are also ways in which this 18-month period of COBRA
the loss of coverage of any retired employee covered under the continuation coverage can be extended:
Plan, the retired employee will become a qualiied beneiciary.
The retired employee’s spouse, surviving spouse, and Disability Extension of 18-Month Period of
dependent children will also become qualiied beneiciaries if Continuation Coverage
bankruptcy results in the loss of their coverage under the Plan.
If you or anyone in your family covered under the Plan is
When is COBRA Coverage Available? determined by the Social Security Administration to be disabled
and you notify the Plan Administrator in a timely fashion,
The plan will ofer COBRA continuation to qualiied beneiciaries you and your entire family may be entitled to receive up to
only after the Plan Administrator has been notiied that a an additional 11 months of COBRA continuation coverage,
qualifying event has occurred. When the qualifying event is the for a total maximum of 29 months. The disability would have
end of employment or reduction of hours of employment, death to have started at some time before the 60th day of COBRA
of the employee, or enrollment of the employee in Medicare continuation coverage and must last at least until the end of
(Part A, Part B, or both), the employer must notify the Plan the 18-month period of continuation coverage.
Administrator of the qualifying event. In addition, if the Plan
provides retiree health coverage, then commencement of a
proceeding in a bankruptcy with respect to the employer is also
a qualifying event where the employer must notify the Plan
Administrator of the qualifying event.
For all other qualifying events (divorce or legal separation
of the employee and spouse or a dependent child’s losing
eligibility for coverage as a dependent child), you must notify
the Plan Administrator. The Plan requires you to notify the Plan
Administrator within 60 days after the qualifying event occurs.
25
Legal Notices
Your dependent children will become qualiied beneiciaries How is COBRA Coverage Provided?
if they will lose coverage under the Plan because any of the Once the Plan Administrator receives notice that a qualifying
following qualifying events happens: event has occurred, COBRA continuation coverage will be
1 . The parent-employee dies; ofered to each of the qualiied beneiciaries. Each qualiied
2 . The parent-employee’s hours of employment are reduced; beneiciary will have an independent right to elect COBRA
3 . The parent-employee’s employment ends for any reason continuation coverage. Covered employees may elect COBRA
continuation coverage on behalf of their spouses, and parents
other than his or her gross misconduct; may elect COBRA continuation coverage on behalf of their
4 . The parent-employee becomes enrolled in Medicare (Part children.
A, Part B, or both);
5 . The parents become divorced or legally separated; or COBRA continuation coverage is a temporary continuation of
coverage that generally lasts for 18 months due to employment
6 . The child stops being eligible for coverage under the plan termination or reduction of hours of work. Certain qualifying
as a “dependent child.” events, or a second qualifying event during the initial period of
Sometimes, iling a proceeding in bankruptcy under title 11 coverage, may permit a beneiciary to receive a maximum of 36
of the United States Code can be a qualifying event. If a months of coverage.
proceeding in bankruptcy is iled and that bankruptcy results in There are also ways in which this 18-month period of COBRA
the loss of coverage of any retired employee covered under the continuation coverage can be extended:
Plan, the retired employee will become a qualiied beneiciary.
The retired employee’s spouse, surviving spouse, and Disability Extension of 18-Month Period of
dependent children will also become qualiied beneiciaries if Continuation Coverage
bankruptcy results in the loss of their coverage under the Plan.
If you or anyone in your family covered under the Plan is
When is COBRA Coverage Available? determined by the Social Security Administration to be disabled
and you notify the Plan Administrator in a timely fashion,
The plan will ofer COBRA continuation to qualiied beneiciaries you and your entire family may be entitled to receive up to
only after the Plan Administrator has been notiied that a an additional 11 months of COBRA continuation coverage,
qualifying event has occurred. When the qualifying event is the for a total maximum of 29 months. The disability would have
end of employment or reduction of hours of employment, death to have started at some time before the 60th day of COBRA
of the employee, or enrollment of the employee in Medicare continuation coverage and must last at least until the end of
(Part A, Part B, or both), the employer must notify the Plan the 18-month period of continuation coverage.
Administrator of the qualifying event. In addition, if the Plan
provides retiree health coverage, then commencement of a
proceeding in a bankruptcy with respect to the employer is also
a qualifying event where the employer must notify the Plan
Administrator of the qualifying event.
For all other qualifying events (divorce or legal separation
of the employee and spouse or a dependent child’s losing
eligibility for coverage as a dependent child), you must notify
the Plan Administrator. The Plan requires you to notify the Plan
Administrator within 60 days after the qualifying event occurs.
25
