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25C - AGMT GROUP INSURANCE
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25C - AGMT GROUP INSURANCE
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Last modified
2/1/2018 7:02:12 PM
Creation date
2/1/2018 7:10:52 PM
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City Clerk
Doc Type
Agenda Packet
Agency
Personnel Services
Item #
25C
Date
2/6/2018
Destruction Year
2023
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must be sent to Us within thirty-one (31) days after the date the child attains the age limit and at reasonable <br />intervals after such date. <br />Subject to the TERMINATION OF BENEFITS section, benefits will continue while such child: <br />• remains incapable of self-sustaining employment because of a mental or physical handicap; and <br />• continues to qualify as a child, except for the age limit. <br />For Family And Medical Leave <br />Certain leaves of absence may qualify under the Family and Medical Leave Act of 1993 (FMLA) for <br />continuation of benefits. Please contact the Organization for information regarding the FMLA. <br />At The Organization's Option <br />Your Organization may elect to continue benefits by paying the Prepayment Fee for any of the reasons <br />specified below. Please check with Your Organization if You have questions regarding continuation. If Your <br />benefits are continued, benefits for Your dependents may also be continued. You will be notified by Your <br />Organization how much You will be required to contribute. <br />1. For the period You are laid off, up to two (2) months. <br />2. For the period You are not at work due to injury or sickness, up to nine (9) months. <br />3. For the period You are not at work due to any other Organization approved leave of absence; up to two <br />(2) months. <br />At the end of any of the continuation periods listed above, Your benefits will be affected as follows: <br />• if You return to work within these time periods, Your coverage will continue under the group contract; <br />• if You do not return to work within these time periods, Your employment will be considered to end and <br />Your benefits will end. <br />If Your benefits end, Your dependents' benefits will also end. <br />COBRA CONTINUATION FOR DENTAL BENEFITS <br />The following applies to employers with 20 or more employees that are not church or government <br />plans: <br />If Dental Benefits for You or a dependent end, You or Your dependent may qualify for continuation of such <br />benefits under the Consolidated Omnibus Budget Reconciliation Act of 1985, as amended (COBRA). <br />Please contact Your Organization for information regarding continuation of insurance under COBRA. <br />Cal -Cobra Continuation For Dental Benefits <br />If dental benefits for You or a dependent ends, You or Your dependent may qualify for continuation of such <br />benefits under Cal -Cobra, section 1366.20 of the California Health and Safety Code. <br />Events that Allow Continuation, and Length of Continuation <br />You and Your dependent may continue dental benefits under this plan for a period of up to thirty-six (36) <br />months, if Your dental benefits would otherwise end because: <br />1. Your employment ends for any reason other than Your gross misconduct, or <br />2. Your hours worked are reduced. <br />Your Organization must notify us of Your termination or reduction of hours within thirty-one (31) days after <br />Your termination or reduction of hours. <br />GCERT2011-DHMO-EOC 25C-29 15 <br />
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