Dependent coverage will end on the earliest of the following dates: the date this Plan ends; the date you become ineligible; the date you fail to make a required premium contribution; the date your coverage ends; the date the person ceases to be a dependent as defined by the Plan; […]
Increases and decreases in the amount of Dependent coverage are effective on the first of the month following the loss of eligibility or increase in the level of coverage under this Plan.
If you are then eligible, coverage is effective for your newborn child for 31 days from the moment of birth. Coverage will continue beyond 31 days only if you apply for Dependent coverage before the end of the 31-day period.
Dependent coverage will become effective on the latest of the following dates the date you apply for Dependent coverage; the date your coverage becomes effective; the date the person becomes an eligible Dependent.
You must apply in writing for Dependent coverage. Application must be made on an approved form.
Your Dependent becomes eligible for coverage on the later of: the date you become eligible; or the date the individual meets the qualification as defined under the definition of Dependent.
For eligibility purposes, “dependent” includes only an Employee’s: legal spouse, if not legally separated; and Dependent child, (includes a legally adopted child or a child placed in your care in anticipation of adoption where the adoption is being actively pursued, foster child, child for whom the Employee is a legal guardian, a step-child, a child […]
If you become ineligible for benefits, you may continue coverage through the Full Self-Payment option for a maximum period of six (6) consecutive months. You will be responsible for paying the full cost of coverage every month for the Plan level you had when you lost eligibility. The full self-pay amount is due by the […]
If you are an Active member who has hourly contributions paid on your behalf by a signatory employer, and you have met the standards for initial qualification and are eligible for coverage, the Self-Pay options may be available to you. These options allow you to maintain coverage when you do not have enough Contribution Credits […]
A member can accumulate a maximum of four (4) months of Benefit Credits/Hours in their Benefit Credit/Hour Bank. If a member works more hours than are necessary to earn the Benefit Credits/Hours required for the level of coverage he/she selected, he/she will accumulate reserve Benefit Credits/Hours in the Benefit Credits/Hour Bank. These Benefit Credits/Hours will […]
