Reso 2010-1529 - Laserfiche WebLink

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8.04.04 AV-GIOICE-2009 MP-5320 (10/09) ) a) If you or your Dependent is Social Security disabled (Social Security disability status must occur as defined by Title II or Title XVI of the Social Security Act), you may elect to continuc coverage for the disabled person only or for some or all of COBRA eligible family members for up to 29 months if your employment is terminated or your hours are reduced. You must pay 102% of the cost of coverage for the first 18 months of COBRA continuation coverage and 150% of the cost of coverage for the 19th through the 29th months of coverage. The Social Security disability date must occur within the first 60 days of loss of coverage due to your termination of employment or reduction in hours. ) b) For COBRA coverage to remain in effect, payment must be received by the Plan Administrator by the first day of the month for which the premium is due. (Your first payment is due no later than 45 days after your election to continue coverage, and it must cover the period of time back to the first day of your COBRA continuation coverage.) Duration. COBRA Continuation Coverage can be extended for: a) 18 months if coverage ended due to a reduction in your work hours or termination of your employment and you or one of your covered Dependents is not Social Security disabled within 60 days of the date you lose coverage due to termination of employment or reduction in hours, the Medicare entitled person may elect up to 18 months of COBRA. If you are that Medicare entitled person, your Dependents may elect COBRA for the longer of 36 months from your prior Medicare entitlement date, or 18 months from the date of yOU! termination or reduction in hours; or b) 36 months for your Dependents, if your Dependents lose eligibility for medical coverage due to your death, your divorce or legal separation, your entitlement to Medicare after your termination or reduction in hours, or your Dependent child ceasing to qualify as a Dependent under the Plan; or c) 29 months if you lose coverage due to a tennination of employment or reduction in hours and yon or a Dependent is disabled, as defined by Title II or Title XVI of the Social Security Act, within 60 days of the original qualifying event. In this case, you may continue covera~e for an additional II months after the original 18-month period either for the disabled person only or for one or all of your covered family members. d) To be eligible for extended coverage due to Social Security disability, you must notify the Plan Administrator of the disability before the end of the initial 18 months of. COBRA continuation coverage and within 60 days following the date you or a covered Dependent is detennined to be disabled by the Social Security Administration. If the disabled individual should no longer be considered to be disabled by the Social Security Administration, you must notify the Plan Administrator within 30 days following the end of the disability. Coverage that has exceeded the original 18-month continuation period will end when the individual is no longer Social Security disabled. e) If more than one qualifying event occurs, no more thaIl 36 months total of COBRA continuation coverage will be available. The COBRA beneficiary mnst experience the second qualifying event during the first 18 months of COBRA continuation, and mnst provide notice to the Plan Administrator within the required time period. COBRA continuation coverage will end sooner if the Plan terminates and the employer does not provide replacement medical coverage, or if a person covered under COBRA: I) First becomes covered under another group health plan after the loss of coverage due to your termination or reduction in hours, unless the new group coverage is ~l ) 19