Cal-COBRA Continuation Coverage Sample Clauses

Cal-COBRA Continuation Coverage. Plan may only provide coverage for Benefits under Cal-COBRA to Members who reside or work within the Service Area. Subject to continuing eligibility as specified in Section 6.2 and 6.3.2 above, Cal-COBRA allows Members who are employed by employer groups with 2-19 Eligible Employees to extend their coverage, upon payment of the applicable monthly Premiums to Plan, if they would otherwise lose their coverage because:
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Cal-COBRA Continuation Coverage. Under Cal-COBRA, a health plan such as HMO that contracts with California small employers who have 2-19 eligible employees, is required to provide Members with the opportunity to elect Cal-COBRA continuation coverage in certain circumstances where coverage would otherwise terminate (“qualifying events”). HMO will administer or contract for the administration of continuation coverage under Cal- COBRA. In order to obtain Cal-COBRA continuation coverage, Member and Contract Holder must provide HMO with certain notices as described below in Sections C2 and C3. HMO will offer a Member who has exhausted continuation coverage under COBRA (if such coverage was for less than 36 months) the opportunity to continue coverage under Cal-COBRA for up to 36 months from the date the Member’s COBRA continuation coverage began. HMO will administer continuation coverage under Cal-COBRA. The notification requirements set forth in C2, do not apply to extension of COBRA under Cal-Cobra. Additional information about the opportunity to continue coverage under Cal- COBRA, notification requirements and instructions for application will be included in the notice to Members of the termination of their COBRA coverage. Throughout this section the term “qualified beneficiaries” refers to Subscribers and/or Covered Dependents who, on the day before a qualifying event, are covered under this EOC.
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Related to Cal-COBRA Continuation Coverage

  • Continuation Coverage Consistent with state and federal laws, certain employees, former employees, dependents, and former dependents may continue group health, dental, and/or life coverage at their own expense for a fixed length of time. As of the date of this Agreement, state and federal laws allow certain group coverages to be continued if they would otherwise terminate due to:

  • COBRA or State Continuation Coverage If a Member whose coverage is provided under COBRA or under a right of continuation provided by state or other federal law is covered under another plan, the plan covering the Member as an employee, member, Subscriber or retiree or covering the Member as a Dependent of an employee, member, Subscriber or retiree is the primary plan and the COBRA or state or other federal continuation coverage is the secondary plan. If the other plan does not have this rule, and as a result, the plans do not agree on the order of benefits, this rule is ignored. This rule does not apply if the rule under Section D.1. can determine the order of benefits.

  • COBRA “COBRA” means the Consolidated Omnibus Budget Reconciliation Act of 1985, as amended.

  • Dependents Eligible dependents for the purposes of this Article are as follows:

  • COMPENSATION COVERAGE (a) When an employee is injured at work and goes on Compensation, he or she shall, when the Compensation Board signifies that the employee may go to work, be returned to the payroll at his or her previous job and rate of pay for a period of one (1) week, to see if he or she is able to do the job he or she held at the time of the injury.

  • COBRA/Rhode Island Extended Benefits (XXXX) If this plan is provided to you under COBRA or XXXX, and you are covered under another plan as an employee, retiree, or dependent of an employee or retiree, the plan covering you as an employee, retiree or dependent of an employee or retiree will be primary and the COBRA or XXXX plan will be the secondary plan.

  • Vision Coverage A fully employee paid vision benefit will be available beginning January 1, 2021 subject to agreement by the subcommittee of the Joint Labor Management Insurance Committee to the benefit set determined through the state’s Request for Proposal (RFP) process.

  • Dental specific medications for dental purposes, including fluoride medications (except for children less than five years of age with a non-fluorinated water supply);

  • Retiree Coverage Pre-Medicare: Employees who retire on or after January 1, 2011, will be provided the same health care benefits, including but not limited to, cost sharing, that it provides to its active employees until the retiree becomes eligible for Medicare. In the event health care benefits for active employees are eliminated in their entirety, which shall include a change to a one-hundred (100%) percent employee contributory health savings plan, the last health care benefits plan in effect for retirees preceding the elimination of the plan shall remain in effect (absent a contrary order from a Court of competent jurisdiction) until the Employer again provides a health care benefits plan to active employees. Medicare: Retirees must enroll in the Part B Medicare program commencing on the date they first become eligible to participate in the program. Retirees shall be responsible for the cost of such coverage. The Employer shall make available to those retirees who are properly enrolled in the Part B Medicare Program as above provided, a Supplemental Plan, with a $100 deductible. Such Plan will have the same Rx drug benefits the County provides its active employees. In the event Rx drug benefits for active employees are eliminated in their entirety, which shall include a change to a one-hundred (100%) percent employee contributory health savings plan, the Rx drug benefits last in effect for retirees preceding the elimination of the Rx drug benefits for active employees shall remain in effect (absent a contrary order from a Court of competent jurisdiction) until the Employer again provides Rx drug benefits to active employees.

  • Life Insurance Benefits A. During the life of this Agreement, the basic life insurance benefit made available to Faculty members shall be calculated as 3 times base annual earnings, rounded to the next highest $1,000, but not more than $225,000. A separate additional benefit up to the amount of the life insurance will be paid for accidental death and dismemberment, or loss of sight. The amount of Life and Accidental Death and Dismemberment/Loss of Sight benefits will be reduced to 65% at age 65, and further reduced (from the original insurance amount) as follows: to 50% at age 70, and 35% at age 75. Basic life insurance and AD&D benefits will be provided with no employee contributions.

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