Page 113 - 2022 Washington Nationals Flipbook

MLB LWIP & Nationals Welfare
Plans and Summary Plan Description

60 days of the second qualifying event. This notice must be sent to the address listed in
Appendix corresponding to the continued benefit.

Other Coverage Options Besides COBRA Continuation Coverage

Instead of enrolling in COBRA continuation coverage, there may be other coverage options
for you and your family through the Health Insurance Marketplace, Medicaid, or other group
health plan coverage options (such as a spouse’s plan) through what is called a “special
enrollment period.” Some of these options may cost less than COBRA continuation
coverage. You can learn more about many of these options at www.healthcare.gov.

If You Have Questions

Questions concerning the Plan or your COBRA continuation coverage rights should be
addressed to the Nationals or the COBRA Administrator listed in Appendix A. For more
information about your rights under COBRA, contact the nearest Regional or District Office
of the U.S. Department of Labor’s Employee Benefits Security Administration (“EBSA”) in
your area or visit the EBSA website at www.dol.gov/ebsa. (Addresses and phone numbers of
Regional and District EBSA Offices are available through EBSA’s website.) For more
information about the Marketplace, visit www.HealthCare.gov.

Keep Your Plan Informed Of Address Changes

In order to protect your family’s rights, you should keep the COBRA Administrator informed
of any changes in the addresses of family members. You should also keep a copy, for your
records, of any notices you send to the Nationals.

California COBRA Participants

Participants whose COBRA maximum coverage period would have been less than 36 months
have an opportunity to extend their coverage under California state law upon the exhaustion
of COBRA, but in no event to exceed 36 months from the date of the original COBRA
qualifying event. For example, if a qualified beneficiary’s COBRA coverage was effective
on January 1, 2011, and the maximum coverage period would have extended COBRA for 18
months to July 1, 2013, the qualified beneficiary could extend coverage for an additional 18
months to up to a collective maximum coverage period of 36 months.

Those participants who will exhaust COBRA continuation coverage and have been on
COBRA coverage for less than 36 months will receive a letter from the COBRA
Administrator for the Plan to determine eligibility under the state continuation program. This
request for additional coverage must be made no later than 30 calendar days prior to the end
of your original COBRA expiration period (either 18th or 29th month).

The monthly rate of 110% of the conventional rates used for active employees will be
applicable under state continuation. For participants deemed to be disabled as defined by the
Social Security Administration, beginning with the 19th month, you will be charged a
monthly rate of 150% of the conventional rates used for active employees.

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