Reso 2001-399 - Laserfiche WebLink

Home Browse Search

TERMINATION OF DEPENDENT DENTAL COVERAGE fERMINATION, Dental coverage on a Dependent will cease on the date he or she ceases to be an eligible Dependent, as defmed in this Policy. Dependent Dental Coverage will cease for all of the Covered Employee's Dependents: (1) when the Covered Employee's Dental Coverage terminates; (2) when Dependent Dental Coverage is discontinued under this Policy; (3) when the Covered EOlployee ceases to be in a class of employees eligible for Dependent Dental Coverage; (4) when the Covered Employee requests that the Dependent Dental Coverage be terminated; or (5) on the last day of the premium paying period for which the Covered Employee has made any required contribution toward the cost of the Dependent Dental Coverage. SURVIVING DEPENDENTS. If Employee Dental Coverage terminates due to the Covered Employee's death, Dependent Dental Coverage may be continued: (1) for three Coverage Months; or any longer period, if required by state or federal law; (2) provided the Group Policyholder submits the premium on behalf of the surviving Dependents; and this Policy remains in force. REINSTATEMENT OF DEPENDENT COVERAGE. If a Dependent's Dental Coverage ends due to the Employee's termination of full-time employment, approved leave of absence, or military leave; then the Company will reinstate'Dependent coverage and waive any Eligibility Waiting Period, new BenefIt Waiting Period, or new Late Entrant Limitation; provided the Employee: (1) returns from termination of employment or an approved leave of absence to qualifying full-time employment within six months; or (2) returns to qualifying full-time employment following a military leave of up to fIve years, as provided under the Reinstatement of Employee Coverage section, The Covered Employee must enroll eligible Dependents within 31 days after resuming Active Work; and sign a payroll deduction )rder or Section 125 Plan election, if required, EXTENDED DENTAL BENEFITS. Extended Dental BenefIts will be paid if, on the date this Policy terminates, the Covered Employee's Dependent requires dental services due to an injury which occurred or a sickness which was diagnosed before his or her coverage ended. In that event, benefIts will be continued as ifhis or her coverage remained in force; provided: ( 1 ) the attending Dentist or Physician must recommend the course of treatment or dental procedures to the Covered Employee's Dependent in writing, and start treatment while Policy coverage is in effect; (2) the services must be other than routine exams, prophylaxis, x-rays, sealants or orthodontic services; (3) the Covered Expenses are incurred within 90 days after Policy termination; and (4) policy termination must not occur due to the Covered Employee's failure to pay premiums or request to cancel coverage. GL-9- TO 98 FL 15 09/01/01