Common use of COBRA Continuation Coverage Clause in Contracts

COBRA Continuation Coverage. COBRA is the Consolidated Omnibus Budget Reconciliation Act of 1985 as modified by the Tax Reform Act of 1986. This Act permits You or covered Dependents to elect to continue Your Group coverage as follows: Employees and their covered Dependents will not be eligible for the continuation of coverage provided by this section if the Group is exempt from the provisions of COBRA; however, they may be eligible for continuation of coverage as provided by State Continuation Coverage of this Certificate. Minimum Size of Group. The Group must have normally employed more than twenty (20) employees on a typical business day during the preceding Calendar Year. This refers to the number of employees employed; not the number of employees covered by a Health Benefit Plan, and includes full-time and part-time employees. Loss of Coverage. For loss of coverage due to termination (other than for gross misconduct) or reduction of hours of employment, You may elect to continue coverage for eighteen (18) months after eligibility for coverage under this Certificate would otherwise cease. You may elect to continue coverage for thirty-six (36) months after eligibility for coverage under this Certificate would otherwise cease if coverage terminates as the result of: • divorce; • Subscriber’s death; • Subscriber’s entitlement to Medicare benefits; or • cessation of covered Dependent child status under WHO GETS BENEFITS; Eligibility of this Certificate. COBRA continuation coverage under this Certificate ends at the earliest of the following events: • the last day of the continued coverage whether eighteenth (18) month or thirty-sixth (36) month period; • the first day on which timely payment of Premium is not made subject to the Premium section of the Group Agreement; • the first day on which the Group Agreement between Group and HMO is not in full force and effect; • the first day on which You are actually covered by any other group Health Benefit Plan. In the event You have a preexisting condition and would be denied coverage under the new Health Benefit Plan for a preexisting condition, continuation coverage will not be terminated until the last day of the continuation period, or the date upon which the preexisting condition becomes covered under the new Health Benefit Plan, whichever occurs first; or • the date You are entitled to Medicare.

Appears in 6 contracts

Samples: Certificate of Coverage, Certificate of Coverage, Certificate of Coverage

AutoNDA by SimpleDocs

COBRA Continuation Coverage. COBRA is the Consolidated Omnibus Budget Reconciliation Act of 1985 as modified by the Tax Reform Act of 1986. This Act permits You or covered Dependents to elect to continue Your Group coverage as follows: Employees and their covered Dependents will not be eligible for the continuation of coverage provided by this section if the Group is exempt from the provisions of COBRA; however, they may be eligible for continuation of coverage as provided by State Continuation Coverage of this Certificate. Minimum Size of Group. The Group must have normally employed more than twenty (20) employees on a typical business day during the preceding Calendar Year. This refers to the number of employees employed; not the number of employees covered by a Health Benefit Plan, and includes full-full- time and part-part- time employees. Loss of Coverage. For loss of coverage due to termination (other than for gross misconduct) or reduction of hours of employment, You may elect to continue coverage for eighteen (18) months after eligibility for coverage under this Certificate would otherwise cease. You may elect to continue coverage for thirty-thirty- six (36) months after eligibility for coverage under this Certificate would otherwise cease if coverage terminates as the result of: • divorce; • Subscriber’s death; • Subscriber’s entitlement to Medicare benefits; or • cessation of covered Dependent child status under WHO GETS BENEFITS; Eligibility of this Certificate. COBRA continuation coverage under this Certificate ends at the earliest of the following events: • the last day of the continued coverage whether eighteenth (18) month or thirty-thirty- sixth (36) month period; • the first day on which timely payment of Premium is not made subject to the Premium Premiums section of the Group Agreement; • the first day on which the Group Agreement between Group and HMO is not in full force and effect; • the first day on which You are actually covered by any other group Health Benefit Plan. In the event You have a preexisting condition and would be denied coverage under the new Health Benefit Plan for a preexisting condition, continuation coverage will not be terminated until the last day of the continuation period, or the date upon which the preexisting condition becomes covered under the new Health Benefit Plan, whichever occurs first; or • the date You are entitled to Medicare.

Appears in 3 contracts

Samples: www.bcbstx.com, www.bcbstx.com, www.bcbstx.com

COBRA Continuation Coverage. COBRA is the Consolidated Omnibus Budget Reconciliation Act of 1985 as modified by the Tax Reform Act of 1986. This Act permits You or covered Dependents to elect to continue Your Group coverage as follows: Employees and their covered Dependents will not be eligible for the continuation of coverage provided by this section if the Group is exempt from the provisions of COBRA; however, they may be eligible for continuation of coverage as provided by State Continuation Coverage of this Certificate. Minimum Size of Group. The Group must have normally employed more than twenty (20) employees on a typical business day during the preceding Calendar Year. This refers to the number of employees employed; not the number of employees covered by a Health Benefit Plan, and includes full-full- time and part-part- time employees. Loss of Coverage. For loss of coverage due to termination (other than for gross misconduct) or reduction of hours of employment, You may elect to continue coverage for eighteen (18) months after eligibility for coverage under this Certificate would otherwise cease. You may elect to continue coverage for thirty-thirty- six (36) months after eligibility for coverage under this Certificate would otherwise cease if coverage terminates as the result of: divorce; Subscriber’s death; Subscriber’s entitlement to Medicare benefits; or cessation of covered Dependent child status under WHO GETS BENEFITS; Eligibility of this Certificate. COBRA continuation coverage under this Certificate ends at the earliest of the following events: the last day of the continued coverage whether eighteenth (18) month or thirty-thirty- sixth (36) month period; the first day on which timely payment of Premium is not made subject to the Premium Premiums section of the Group Agreement; the first day on which the Group Agreement between Group and HMO is not in full force and effect; the first day on which You are actually covered by any other group Health Benefit Plan. In the event You have a preexisting condition and would be denied coverage under the new Health Benefit Plan for a preexisting condition, continuation coverage will not be terminated until the last day of the continuation period, or the date upon which the preexisting condition becomes covered under the new Health Benefit Plan, whichever occurs first; or the date You are entitled to Medicare.

Appears in 2 contracts

Samples: www.bcbstx.com, www.bcbstx.com

COBRA Continuation Coverage. COBRA is the Consolidated Omnibus Budget Reconciliation Act of 1985 as modified by the Tax Reform Act of 1986. This Act permits You or covered Dependents to elect to continue Your Group coverage as follows: Employees and their covered Dependents will not be eligible for the continuation of coverage provided by this section if the Group is exempt from the provisions of COBRA; however, they may be eligible for continuation of coverage as provided by State Continuation Coverage of this Certificate. Minimum Size of Group. The Group must have normally employed more than twenty (20) employees on a typical business day during the preceding Calendar Year. This refers to the number of employees employed; not the number of employees covered by a Health Benefit Plan, and includes full-time and part-time employees. Loss of Coverage. For loss of coverage due to termination (other than for gross misconduct) or reduction of hours of employment, You may elect to continue coverage for eighteen (18) months after eligibility for coverage under this Certificate would otherwise cease. You may elect to continue coverage for thirty-six (36) months after eligibility for coverage under this Certificate would otherwise cease if coverage terminates as the result of: divorce; Subscriber’s death; Subscriber’s entitlement to Medicare benefits; or cessation of covered Dependent child status under WHO GETS BENEFITS; Eligibility of this Certificate. COBRA continuation coverage under this Certificate ends at the earliest of the following events: the last day of the continued coverage whether eighteenth (18) month or thirty-sixth (36) month period; the first day on which timely payment of Premium is not made subject to the Premium section of the Group Agreement; the first day on which the Group Agreement between Group and HMO is not in full force and effect; the first day on which You are actually covered by any other group Health Benefit Plan. In the event You have a preexisting condition and would be denied coverage under the new Health Benefit Plan for a preexisting condition, continuation coverage will not be terminated until the last day of the continuation period, or the date upon which the preexisting condition becomes covered under the new Health Benefit Plan, whichever occurs first; or the date You are entitled to Medicare.

Appears in 2 contracts

Samples: www.bcbstx.com, www.bcbstx.com

COBRA Continuation Coverage. COBRA is the Consolidated Omnibus Budget Reconciliation Act of 1985 as modified by the Tax Reform Act of 1986. This Act permits You or covered Dependents to elect to continue Your Group coverage as follows: Employees and their covered Dependents will not be eligible for the continuation of coverage provided by this section if the Group is exempt from the provisions of COBRA; however, they may be eligible for continuation of coverage as provided by State Continuation Coverage of this Certificate. Minimum Size of Group. The Group must have normally employed more than twenty (20) employees on a typical business day during the preceding Calendar Year. This refers to the number of employees employed; not the number of employees covered by a Health Benefit Plan, Plan and includes full-time and part-time employees. Loss of Coverage. For loss of coverage due to termination (other than for gross misconduct) or reduction of hours of employment, You may elect to continue coverage for eighteen (18) months after eligibility for coverage under this Certificate would otherwise cease. You may elect to continue coverage for thirty-six (36) months after eligibility for coverage under this Certificate would otherwise cease if coverage terminates as the result of: divorce; Subscriber’s death; Subscriber’s entitlement to Medicare benefits; or cessation of covered Dependent child status under WHO GETS BENEFITS; Eligibility of this Certificate. COBRA continuation coverage under this Certificate ends at the earliest of the following events: the last day of the continued coverage whether eighteenth (18) month or thirty-sixth (36) month period; the first day on which timely payment of Premium is not made subject to the Premium section of the Group Agreement; the first day on which the Group Agreement between Group and HMO is not in full force and effect; the first day on which You are actually covered by any other group Health Benefit Plan. In the event You have a preexisting condition and would be denied coverage under the new Health Benefit Plan for a preexisting condition, continuation coverage will not be terminated until the last day of the continuation period, or the date upon which the preexisting condition becomes covered under the new Health Benefit Plan, whichever occurs first; or the date You are entitled to Medicare.

Appears in 1 contract

Samples: www.bcbstx.com

COBRA Continuation Coverage. COBRA is the Consolidated Omnibus Budget Reconciliation Act of 1985 as modified by the Tax Reform Act of 1986. This Act permits You or covered Dependents to elect to continue Your Group coverage as follows: Employees and their covered Dependents will not be eligible for the continuation of coverage provided by this section if the Group is exempt from the provisions of COBRA; however, they may be eligible for continuation of coverage as provided by State Continuation Coverage of this Certificate. Minimum Size of Group. The Group must have normally employed more than twenty (20) employees on a typical business day during the preceding Calendar Year. This refers to the number of employees employed; not the number of employees covered by a Health Benefit Plan, and includes full-time and part-time employees. Loss of Coverage. For loss of coverage due to termination (other than for gross misconduct) or reduction of hours of employment, You may elect to continue coverage for eighteen (18) months after eligibility for coverage under this Certificate would otherwise cease. You may elect to continue coverage for thirty-six (36) months after eligibility for coverage under this Certificate would otherwise cease if coverage terminates as the result of: • divorce; • Subscriber’s 's death; • Subscriber’s 's entitlement to Medicare benefits; or • cessation of covered Dependent child status under WHO GETS BENEFITS; Eligibility of this Certificate. COBRA continuation coverage under this Certificate ends at the earliest of the following events: • the last day of the continued coverage whether eighteenth (18) month or thirty-sixth (36) month period; • the first day on which timely payment of Premium is not made subject to the Premium section of the Group Agreement; • the first day on which the Group Agreement between Group and HMO is not in full force and effect; • the first day on which You are actually covered by any other group Health Benefit Plan. In the event You have a preexisting condition and would be denied coverage under the new Health Benefit Plan for a preexisting condition, continuation coverage will not be terminated until the last day of the continuation period, or the date upon which the preexisting condition becomes covered under the new Health Benefit Plan, whichever occurs first; or • the date You are entitled to Medicare.

Appears in 1 contract

Samples: www.bcbstx.com

AutoNDA by SimpleDocs

COBRA Continuation Coverage. COBRA is the Consolidated Omnibus Budget Reconciliation Act of 1985 as modified by the Tax Reform Act of 1986. This Act permits You or covered Dependents to elect to continue Your Group coverage as follows: Employees and their covered Dependents will not be eligible for the continuation of coverage provided by this section if the Group is exempt from the provisions of COBRA; however, they may be eligible for continuation of coverage as provided by State Continuation Coverage of this Certificate. Minimum Size of Group. The Group must have normally employed more than twenty (20) employees on a typical business day during the preceding Calendar Year. This refers to the number of employees employed; not the number of employees covered by a Health Benefit Plan, Plan and includes full-time and part-time employees. Loss of Coverage. For loss of coverage due to termination (other than for gross misconduct) or reduction of hours of employment, You may elect to continue coverage for eighteen (18) months after eligibility for coverage under this Certificate would otherwise cease. You may elect to continue coverage for thirty-six (36) months after eligibility for coverage under this Certificate would otherwise cease if coverage terminates as the result of: • divorce; • Subscriber’s death; • Subscriber’s entitlement to Medicare benefits; or • cessation of covered Dependent child status under WHO GETS BENEFITS; Eligibility of this Certificate. COBRA continuation coverage under this Certificate ends at the earliest of the following events: • the last day of the continued coverage whether eighteenth (18) month or thirty-sixth (36) month period; • the first day on which timely payment of Premium is not made subject to the Premium section of the Group Agreement; • the first day on which the Group Agreement between Group and HMO is not in full force and effect; • the first day on which You are actually covered by any other group Health Benefit Plan. In the event You have a preexisting condition and would be denied coverage under the new Health Benefit Plan for a preexisting condition, continuation coverage will not be terminated until the last day of the continuation period, or the date upon which the preexisting condition becomes covered under the new Health Benefit Plan, whichever occurs first; or • the date You are entitled to Medicare.

Appears in 1 contract

Samples: Certificate of Coverage

COBRA Continuation Coverage. COBRA is Under the Consolidated Omnibus Budget Reconciliation Act of 1985 1985, as modified by amended (“COBRA”), if Executive participates in a Company-maintained healthcare (medical, dental and/or vision) plan as of the Tax Reform Act of 1986. This Act permits You or covered Dependents Separation Date, Executive will be entitled to elect to continue Your Group coverage as follows: Employees and their covered Dependents will not be eligible for the continuation of coverage provided by this section if the Group is exempt from the provisions of COBRA; however, they may be eligible for continuation of coverage as provided by State Continuation Coverage of this Certificate. Minimum Size of Group. The Group must have normally employed more than twenty (20) employees on a typical business day during the preceding Calendar Year. This refers to the number of employees employed; not the number of employees covered by a Health Benefit Plan, and includes full-time and part-time employees. Loss of Coverage. For loss of coverage due to termination (other than for gross misconduct) or reduction of hours of employment, You may elect to continue coverage for eighteen (18) months after eligibility for coverage under this Certificate would otherwise cease. You may elect to continue coverage for thirty-six (36) months after eligibility for coverage under this Certificate would otherwise cease if coverage terminates as the result of: • divorce; • Subscriber’s death; • Subscriber’s entitlement to Medicare benefits; or • cessation of covered Dependent child status under WHO GETS BENEFITS; Eligibility of this Certificate. COBRA continuation coverage under this Certificate ends at the earliest each such plan in which Executive (and any of Executive’s eligible dependents) is enrolled as of the following events: • the last day of the continued coverage whether eighteenth (18) month or thirty-sixth (36) month period; • the first day on which timely payment of Premium is not made Separation Date. In accordance with and subject to the Premium section terms of the Group Agreement; • Severance Plan, if Executive timely elects to receive continued healthcare coverage pursuant COBRA, from the first day Separation Date until the six-month anniversary of the Separation Date, Executive will only be required to pay the same share of the applicable premium that would apply if Executive were participating in the applicable health plan(s) as an active employee, and following the six-month anniversary of the Separation Date until the 12-month anniversary of the Separation Date, Executive will be required to pay the full monthly COBRA premium provided that, on a monthly basis, the Company will reimburse Executive for the cost of COBRA premiums paid, less the amount that would apply if Executive were participating in the applicable health plan(s) as an active employee. Notwithstanding the foregoing, the Company will cease to directly pay or reimburse Executive for COBRA premiums in accordance with the previous sentence upon the earlier of (i) the date that Executive and/or Executive’s covered dependents, as applicable, become no longer eligible for COBRA, or (ii) the date Executive becomes eligible for new healthcare coverage (other than through Executive’s spouse). Notwithstanding anything to the contrary in this Section 3(b), (x) if any plan pursuant to which such benefits are provided is not, or ceases prior to the Group Agreement between Group and HMO is not in full force and effect; • expiration of the first day on which You are actually covered by any other group Health Benefit Plan. In the event You have a preexisting condition and would be denied coverage under the new Health Benefit Plan for a preexisting condition, period of continuation coverage will not be terminated until to be, exempt from the last day application of Section 409A of the continuation periodCode under Treasury Regulation Section l.409A-l(a)(5), or (ii) the date upon which Company is otherwise unable to continue to cover Executive under its group health plans without penalty under applicable law (including without limitation, Section 2716 of the preexisting condition becomes covered under Public Health Service Act), then, in either case, an amount equal to each remaining COBRA subsidy, subject to the new Health Benefit Planlimitations set forth above, whichever occurs first; or • the date You are entitled shall thereafter be paid to MedicareExecutive in substantially equal monthly installments.

Appears in 1 contract

Samples: Separation Agreement (Prothena Corp PLC)

COBRA Continuation Coverage. COBRA is the Consolidated Omnibus Budget Reconciliation Act of 1985 as modified by the Tax Reform Act of 1986. This Act permits You or covered Dependents to elect to continue Your Group coverage as follows: Employees and their covered Dependents will not be eligible for the continuation of coverage provided by this section if the Group is exempt from the provisions of COBRA; however, they may be eligible for continuation of coverage as provided by State Continuation Coverage of this Certificate. Minimum Size of Group. The Group must have normally employed more than twenty (20) employees on a typical business day during the preceding Calendar Year. This refers to the number of employees employed; not the number of employees covered by a Health Benefit Plan, and includes full-full- time and part-part- time employees. Loss of Coverage. For loss of coverage due to termination (other than for gross misconduct) or reduction of hours of employment, You may elect to continue coverage for eighteen (18) months after eligibility for coverage under this Certificate would otherwise cease. You may elect to continue coverage for thirty-thirty- six (36) months after eligibility for coverage under this Certificate would otherwise cease if coverage terminates as the result of: divorce; Subscriber’s death; Subscriber’s entitlement to Medicare benefits; or Sample  cessation of covered Dependent child status under WHO GETS BENEFITS; Eligibility of this Certificate. COBRA continuation coverage under this Certificate ends at the earliest of the following events: the last day of the continued coverage whether eighteenth (18) month or thirty-thirty- sixth (36) month period; the first day on which timely payment of Premium is not made subject to the Premium Premiums section of the Group Agreement; the first day on which the Group Agreement between Group and HMO is not in full force and effect; the first day on which You are actually covered by any other group Health Benefit Plan. In the event You have a preexisting condition and would be denied coverage under the new Health Benefit Plan for a preexisting condition, continuation coverage will not be terminated until the last day of the continuation period, or the date upon which the preexisting condition becomes covered under the new Health Benefit Plan, whichever occurs first; or the date You are entitled to Medicare.

Appears in 1 contract

Samples: www.bcbstx.com

Time is Money Join Law Insider Premium to draft better contracts faster.