Page 34 - Omega Benefits Guide

You do not have to show that you are insurable to choose continuation coverage. However,
continuation coverage under COBRA is provided subject to your eligibility for coverage. The
Plan Administrator reserves the right to terminate your COBRA coverage retroactively if you are
determined to be ineligible.

Under the law, you may have to pay all or part of the premium, plus a 2 percent administration
fee, for your continuation coverage. As explained above, higher rates apply to the 11-month
extension due to disability. There is a grace period of 30 days for payment of the regularly
scheduled premium. In addition, upon the expiration of the 18-month or 36-month
continuation coverage periods, you will be allowed to enroll in an individual conversion plan if
conversion is provided under the terms of the healthcare plan.

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