Page 24 - 2022 MLB Umpire Benefit Guide Flipbook 1
P. 24
TABLE OF CONTENTS
INTRODUCTION 1
ELIGIBILITY TO PARTICIPATE 2
CESSATION OF PARTICIPATION 3
ELECTIONS AND CONTRIBUTIONS 4
Special Enrollment Rights 5
BENEFITS 5
Medical Coverage 5
Dental Coverage 9
CLAIMS PROCEDURE 10
PRIVACY OF HEALTH INFORMATION 11
CONTINUATION COVERAGE RIGHTS UNDER COBRA 11
COBRA Continuation Coverage 12
Disability Extension Of 18-Month Period Of Continuation Coverage 13
Second Qualifying Event Extension Of 18-Month Period Of Continuation
Coverage 13
Other Coverage Options Besides COBRA Continuation Coverage 14
If You Have Questions 14
Keep Your Plan Informed Of Address Changes 14
California COBRA Participants 14
CONTINUATION OF COVERAGE DURING MILITARY SERVICE 15
PLAN ADMINISTRATOR 15
PLAN AMENDMENT OR TERMINATION 15
ADDITIONAL INFORMATION 16
SUBROGATION 18
General Principle 18
Specific Requirements and Plan Rights 18
Participant Duties and Actions 18
RECOUPMENT 19
NO ASSIGNMENT OF BENEFITS 19
QUALIFIED MEDICAL CHILD SUPPORT ORDER (QMCSO) 20
STATEMENT OF ERISA RIGHTS 20
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