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If no notification is received within the required time period, no extension of the <br />continuation period will be provided. If the notification is incomplete, it will be deemed <br />timely if the Health Plans are able to determine the plan to which it applies, the identity <br />of the employee and the Covered Individuals, the qualifying event, and the date on <br />which the qualifying event occurred, provided that the missing information is provided <br />within thirty (30) days. If the missing information is not provided within that time, the <br />notification will be ineffective and no extension of the continuation period will be <br />provided. <br />If such person has been determined under the Social Security Act to no longer be <br />disabled, the person must notify the Health Plans of that determination within thirty (30) <br />days of the later of: (i) the date of such determination; or (ii) the date on which the <br />Covered Individual was informed of the responsibility to provide notice and the <br />procedures for doing so. The notification must be in writing and be mailed to the Health <br />Plans. Regardless of when the notification is provided, continuation coverage will <br />terminate retroactively on the first day of the month that begins thirty (30) days after the <br />date of the determination, or the end of the initial coverage period, if later. If the <br />notification is not provided within the required time, the Health Plans reserve the right to <br />seek reimbursement of any benefits provided by the Health Plans between the date <br />coverage terminates and the date the notification is provided. <br />(d) Notice of Coverage Under Another Group Health Plan or Medicare. A Covered <br />Individual must notify the Health Plans immediately if any Covered Individuals receiving <br />continuation coverage actually become covered by another group health plan or <br />Medicare. Regardless of when such notification is provided, coverage will terminate <br />retroactively to the date of the coverage under the other group health plan or Medicare. <br />If, for whatever reason, a Covered Individual on continuation coverage receives any <br />benefits under the Health Plans after coverage is to cease under the foregoing rule, the <br />Health Plans reserve the right to seek reimbursement from such Covered Individual. <br />Dated: ELK RIVER MUNICIPAL UTILITIES <br />By: <br />Its: <br />By: <br />Its: <br />©2007 Hitesman & Associates, P.A. 37 Elk River Municipal Utilities <br />122707 Flexible Benefits Plan <br />