Common use of Coverage Ends Clause in Contracts

Coverage Ends. COBRA continuation ends for Members as of the last day of the monthly premium payment period in which any of the following occurs: • failure to make premium payments necessary to bring premiums current within 45 days of electing COBRA; • failure to make the monthly premium payment within 30 days of its due date; • the date, after election of COBRA, that a Member becomes covered by another group health plan that does not limit or exclude any preexisting condition the person might have (either because of no applicable preexisting condition or sufficient creditable coverage to eliminate any preexisting condition limitation), or become entitled to Medicare benefits; • the date, after election of COBRA, that a Member becomes entitled to Medicare benefits; • the date this Contract terminates; or • the applicable period of COBRA continuation ends. COBRA continuation will also end for Members when there is a final determination that a Member is no longer disabled for the purposes of Title II or Title XVI of the Social Security Act. In that case, COBRA continuation ends as of the later of: • the last day of 18 months of continuation coverage; or • the first day of the month that is more than 30 days following the date of the final determination of the nondisability. This event terminates the continuation of all Members who had qualified to extend by virtue of the Member's disability. It's the Member's responsibility to notify the Group of such a final determination within 30 days of the day it is made. Children born to or placed for adoption with the Enrolled Employee while the Enrolled Employee is on COBRA may be added to COBRA coverage and have all the rights extended to Members who have elected COBRA. Addition of such children must occur in accordance with the terms of the "Who Is Eligible" section of the Booklet.

Coverage Ends. COBRA continuation ends for Members as of the last day of the monthly premium payment period in which any of the following occurs: • failure to make premium payments necessary to bring premiums current within 45 days of electing COBRA; • failure to make the monthly premium payment within 30 days of its due date; • the date, after election of COBRA, that a Member becomes covered by another group health plan that does not limit or exclude any preexisting condition the person might have (either because of no applicable preexisting condition or sufficient creditable coverage to eliminate any preexisting condition limitation), or become entitled to Medicare benefits; • the date, after election of COBRA, that a Member becomes entitled to Medicare benefits; • the date this Contract terminates; or • the applicable period of COBRA continuation ends. COBRA continuation will also end for Members when there is a final determination that a Member is no longer disabled for the purposes of Title II or Title XVI of the Social Security Act. In that case, COBRA continuation ends as of the later of: • the last day of 18 months of continuation coverage; or • the first day of the month that is more than 30 days following the date of the final determination of the nondisability. This event terminates the continuation of all Members who had qualified to extend by virtue of the Member's disability. It's the Member's responsibility to notify the Group of such a final determination within 30 days of the day it is made. Children born to or placed for adoption with the Enrolled Employee while the Enrolled Employee is on COBRA may be added to COBRA coverage and have all the rights extended to Members who have elected COBRA. Addition of such children must occur in accordance with the terms of the "Who Is Eligible" section of the Booklet.