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<br />DENTAL COVERAGE CONTINUATION <br /> <br />"lbe following provisions comply with the federal Consolidated Omnibus Budget Reconciliation Act of 1985 (COBRA) as amended, <br />fhese provisions apply when Dental Coverage is provided by a private Employer with 20 or more employees (as dermed by <br />COBRA), Any further changes made to the COBRA continuation requirements will automatically apply to these continuation <br />provisions. <br /> <br />RIGHT TO CONTINUE, Insurance may be continued in accord with the following provisions when: <br />(1) a Covered Person becomes ineligible for Policy coverage due to a Qualifying Event shown below; and <br />(2) this Policy remains in force, <br /> <br />"Qualifying Event" means one of the following events, if it would otherwise result in a QualifIed COBRA BenefIciary's loss of <br />Policy coverage: <br />(1) the Covered Employee's termination of employment or hours reduction; <br />(2) the Covered Employee's death, divorce or legal separation; <br />(3) the Covered Employee's becoming entitled to Medicare benefIts; or <br />(4) a child's ceasing to be an eligible Covered Dependent, under the terms of this Policy. <br /> <br />"Qualified Beneficiary" means the Covered Employee and any Covered Dependent who is entitled to continue insurance under this <br />Policy, from the date of the Covered Employee's fIrst Qualifying Event. It also includes the Covered Employee's natural child, legally <br />adopted child or child placed for the purpose of adoption; when the new child: <br />(1) is acquired during the Covered Employee's 18- or 29-month continuation period; and <br />(2) is enrolled for insurance in accord with the terms of this Policy. <br />But it does not include the Covered Employee's new spouse, stepchild or foster child acquired during that continuation period; <br />whether or not the new Dependent is enrolled for Policy coverage. <br /> <br />CONTINUATION PERIODS. The maximum period of continued coverage for each Qualifying Event shall be as follows, <br /> <br />Termination of Employment. When eligibility ends due to the Covered Employee's termination of employment; then coverage for <br />the Covered Employee and any Covered Dependents may be continued for up to 18 months, from the date employment ended. <br />Termination of employment includes a reduction in hours or retirement. Exceptions: <br /> <br />(1) Misconduct. If the Covered Employee's termination of employment is for gross misconduct, coverage may not <br />be continued for the Covered Employee or any Covered Dependents, <br /> <br />(2) Disability, "Disability" or "Disabled" as used in this section, shall be as dermed by Title II or XVI of the Social <br />Security Act and determined by the Social Security Administration, <br /> <br />If the Covered Employee: <br />(a) becomes disabled by the 60th day after his or her employment ends; and <br />(b) is covered for Social Security Disability Income benefIts; <br />then coverage for the Covered Employee and any Covered Dependents may be continued for up to 29 <br />months, from the date the Covered Employee's employment ended, <br /> <br />If the Covered Employee's Dependent: <br />(a) becomes disabled by the 60th day after the Covered Employee's employment ends; and <br />(b) is covered for Social Security Disability IDcome benefIts; <br />then coverage for that Covered Dependent may be continued for up to 29 months, from the date the <br />Covered Employee's employment ended. <br /> <br />GLll-20-COBRA <br /> <br />28 <br /> <br />09/01/01 <br />