25C - AGMT GROUP INSURANCE - Laserfiche WebLink

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This period of coverage will end on the first of the month that begins more than 30 days after the date of the final determination that the disabled individual Is no longer disabled. The Qualified Beneficiary must notify the employer or administrator within 30 days of any such determination. If, during the 36 -month continuation period resulting from Qualifying Event 1, the Qualified Beneficiary experiences Qualifying Events 2, 3, 4 or 5, he or she must notify the employer within 60 days of the second qualifying event and has a total of 36 months continuation coverage after the date of the date of the first Qualifying Event. Delta Dental shall notify the Primary Enrollee of the date his or her continued coverage will terminate. This termination notification will be sent during the 180 -day period prior to the end of coverage. 10.5 ELECTION OF CONTINUED COVERAGE The Primary Enrollee's employer shall notify Delta Dental in writing within 30 days of Qualifying Event 1, A Qualified Beneficiary must notify his or her employer or the administrator in writing within 60 days of Qualifying Events 2, 3, 4 or 5, or within 60 days of receiving the election notice from the employer. Otherwise, the option of continued coverage will be lost. Within 14 days of receiving notice of a Qualifying Event, the employer or the administrator will provide a Qualified Beneficiary with the necessary benefits information, monthly Premium charge, enrollment forms, and instructions to allow election of continued coverage. A Qualified Beneflclary will then have 60 days to give the employer or the administrator written notice of the election to continue coverage. Failure to provide this written notice of election to the employer or the administrator within 60 days will result in the loss of the right to continue coverage. A Qualified Beneficiary has 45 days from the written election of continued coverage to pay the Initial Premium to his or her employer or the administrator, which Includes the Premium for each month since the loss of coverage. Failure to pay the required Premium within the 45 days will result in loss of the right to continued coverage, and any Premiums received after that date will be returned to the Qualified Beneficiary. 10.6 CONTINUED COVERAGE BENEFITS The Benefits under the continued coverage will be the same as those provided to active employees and their dependents who are still enrolled in the dental plan. If the employer changes the coverage for active employees, the continued coverage will change as well. Premiums will be adjusted to reflect the changes made. 10.7 TERMINATION OF COVERAGE A Qualified Beneficiary's coverage will terminate at the end of the month In which any of the following events first occur: 1. The allowable number of consecutive months of continued coverage is reached; 2. Failure to pay the required Premium in a timely manner; 3. The employer ceases to provide any group dental plan to its employees; 4. The individual moves out of the plan's service area; 19 25C-71