Page 41 - Aegion PPO SPDs
P. 41
Late Enrollment
An Eligible Person or Dependent who did not request enrollment for coverage with the Plan during the initial
enrollment period, as a newly eligible person, or a special enrollment period during which the individual was
entitled to enroll is considered a Late Enrollee and not eligible to enroll for coverage with the Plan until the
next Open Enrollment Period.
Open Enrollment
An Open Enrollment Period shall be held approximately once every 12 consecutive months. Eligible
Members and their eligible Dependents may enroll, change or terminate their coverage during this period.
Open Enrollment means a period of time (approximately 21 days in duration).
Effective Date of Coverage
For more specific information concerning Your Effective Date, see “To Be Eligible for Coverage” in this
section or see Your Human Resources or benefits department.
Termination
Coverage for Your dependent child will end at end of the month in which the dependent child
reaches age 26 (unless the child is disabled before reaching the age limit).
Coverage for Your spouse will end if You (the participant/member) and Your spouse become legally
separated or divorced or for Your domestic partner if You (the participant) and Your domestic
partner terminate the domestic partnership. You may end coverage for Your spouse and domestic
partner for any reason during open enrollment.
Coverage will end for You and all covered family members if You no longer meet the eligibility
requirements. Coverage will end on the day specified in “Section 2: Eligibility for Coverage.”
Coverage will end for You and all covered family members if Aegion terminates this plan.
Coverage will end for You and all covered family members under this plan if You enroll in another
plan offered by Aegion.
Coverage will end for You and all covered family members if You or Your dependents acted
fraudulently in applying for coverage or while You have coverage.
Coverage will end for you and all covered family members if you fail to take action and do not enroll
during the company’s ACTIVE annual open enrollment period. Benefits will be waived if you do not
make an active election. Coverage will not rollover to the next year.
Federal Continuation of Coverage (COBRA)
COBRA continuation coverage can become available to You when You would otherwise lose coverage
under Your Employer's health Plan. It can also become available to other Members of Your family, who
are covered under the Employer's health Plan, when they would otherwise lose their health coverage. For
additional information about Your rights and obligations under federal law under the coverage provided by
the Employer's health Plan, You should contact the Employer.
COBRA Continuation Coverage
COBRA continuation coverage is a continuation of health coverage under the Employer's health Plan when
coverage would otherwise end because of a life event known as a “qualifying event.” Specific qualifying
events are listed below. After a qualifying event, COBRA continuation coverage must be offered to each
person who is a “qualified beneficiary.” You, Your spouse, and Your Dependent children could become
qualified beneficiaries if coverage under the Employer's health Plan is lost because of the qualifying event.
Under the Employer's health Plan, qualified beneficiaries who elect COBRA continuation coverage are
required to pay for COBRA continuation coverage. You may be charged up to 102% of the cost of the
coverage. For qualified disabled subscribers and all covered family members who elect to continue
41
An Eligible Person or Dependent who did not request enrollment for coverage with the Plan during the initial
enrollment period, as a newly eligible person, or a special enrollment period during which the individual was
entitled to enroll is considered a Late Enrollee and not eligible to enroll for coverage with the Plan until the
next Open Enrollment Period.
Open Enrollment
An Open Enrollment Period shall be held approximately once every 12 consecutive months. Eligible
Members and their eligible Dependents may enroll, change or terminate their coverage during this period.
Open Enrollment means a period of time (approximately 21 days in duration).
Effective Date of Coverage
For more specific information concerning Your Effective Date, see “To Be Eligible for Coverage” in this
section or see Your Human Resources or benefits department.
Termination
Coverage for Your dependent child will end at end of the month in which the dependent child
reaches age 26 (unless the child is disabled before reaching the age limit).
Coverage for Your spouse will end if You (the participant/member) and Your spouse become legally
separated or divorced or for Your domestic partner if You (the participant) and Your domestic
partner terminate the domestic partnership. You may end coverage for Your spouse and domestic
partner for any reason during open enrollment.
Coverage will end for You and all covered family members if You no longer meet the eligibility
requirements. Coverage will end on the day specified in “Section 2: Eligibility for Coverage.”
Coverage will end for You and all covered family members if Aegion terminates this plan.
Coverage will end for You and all covered family members under this plan if You enroll in another
plan offered by Aegion.
Coverage will end for You and all covered family members if You or Your dependents acted
fraudulently in applying for coverage or while You have coverage.
Coverage will end for you and all covered family members if you fail to take action and do not enroll
during the company’s ACTIVE annual open enrollment period. Benefits will be waived if you do not
make an active election. Coverage will not rollover to the next year.
Federal Continuation of Coverage (COBRA)
COBRA continuation coverage can become available to You when You would otherwise lose coverage
under Your Employer's health Plan. It can also become available to other Members of Your family, who
are covered under the Employer's health Plan, when they would otherwise lose their health coverage. For
additional information about Your rights and obligations under federal law under the coverage provided by
the Employer's health Plan, You should contact the Employer.
COBRA Continuation Coverage
COBRA continuation coverage is a continuation of health coverage under the Employer's health Plan when
coverage would otherwise end because of a life event known as a “qualifying event.” Specific qualifying
events are listed below. After a qualifying event, COBRA continuation coverage must be offered to each
person who is a “qualified beneficiary.” You, Your spouse, and Your Dependent children could become
qualified beneficiaries if coverage under the Employer's health Plan is lost because of the qualifying event.
Under the Employer's health Plan, qualified beneficiaries who elect COBRA continuation coverage are
required to pay for COBRA continuation coverage. You may be charged up to 102% of the cost of the
coverage. For qualified disabled subscribers and all covered family members who elect to continue
41
