Reso 98-109 - Laserfiche WebLink

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Ronda Municipal Insurance Trust Medical Master Plan of Beneflts (3) Notice hereunder to employees or qualified beneficiaries shall be by First Class Mail to their last known address; notice to the Trust shall be by First Class Mail to the Board of Trustees of the Florida Municipal Insurance Trust. A qualified beneficiary's election of continuation of coverage must be made within sixty (60) days following notice to the qualified beneficiary. If the qualifying ~vent is termination, the covered employee's election of continuation coverage shall be deemed to include an election of continuation of coverage on behalf of any other qualified beneficiary who would lose coverage under the Plan by reason of the termination. If any other qualifying event occurs, the election of continuation of coverage by the spouse shall be deemed to include an election of continuation coverage on behalf of any other qualified beneficiary who would lose coverage under the Plan by reason of the qualifying event. The cost of coverage to the qualified beneficiary shall be 102% of the cost of providing coverage for such period to a similarly situated participant under the Plan to whom a qualifying event has not occurred. In the event the qualifying event entitling the qualified beneficiary to continuation of coverage is the covered beneficiary's disability as defined by the Social Security Act, the cost of coverage to the qualified beneficiary for any month after the 18th month of continuation coverage following the date of termination shall be 150% of the cost of providing coverage for such period to a similarly situated participant under the Plan to whom the qualifying event has not occurred. The cost of coverage shall be paid directly to the employer in monthly installments. In the event of a covered employee's termination, the period of continuation of coverage IS: (l) Up to eighteen (18) months from the date of said termination for such employee and the employee's qualified beneficiaries. (2) Up to thirty-six (36) months from the date of employee's death, divorce, or legal separation for such employee's covered surviving spouse, divorced spouse, legally separated spouse and such employee's covered dependents. (3) Up to thirty-six (36) months from the date a covered dependent child ceases . to be covered as an eligible dependent under the Plan. - (4) Up to thirty-six (36) months from the date the covered employee becomes entitled to Medicare benefits for the employee's covered spouse and dependents. (5) Up to twenty-nine (29) months from the date of such termination for such employee and such employee's qualified beneficiaries, if it is determined, under Title II or XVI of the Social Security Act, the covered employee was disabled on the date of termination. The employee must notify the Trust of said determination within sixty (60) days of said determination and within eighteen (18) months of the date of termination. In the event another qualifying event occurs during the eighteen (18) months following the date of the employee's termination, the period of continuation of coverage is up to thirty-six (30) months from the date of termination for such employee and his qualified b<:neficiaries. . A qualified beneficiary's continuation of coverage shall cease on the earliest of the "Unless otherwise stated In the Schedule of Benefits (7/98) Page 29