5.3. ERMUSR 02-09-2010 - Laserfiche WebLink

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ARTICLE XIV. CONTINUATION COVERAGE 14.1 Compliance with Continuation Continued coverage for Group Dental Benefits, Medical Expense Reimbursement Plan shall be provided as required under the Consolidated Omnibus Budget Reconciliation Act of 1985 ("COBRA") as amended or applicable state law. The the continuation By: ICS: Deleted: Medical Expense Reimbursement Plan, Limited Scope Deleted: ,and the Individual Premium Plan (hereinafter collectively referred to as the "Health Plans ~ Deleted: Deleted: remainder of this Article applies only if and to Deleted: extent required under COBRA or state Deleted: laws. Deleted: <#>POlicies and Procedures. To the extent not provided herein, the Plan Administrator shall, within the parameters of the law, establish uniform policies by which to provide such continuation coverage. To the extent the policies and procedures provided herein conflict with the underlying plan documentr for the Health Plans, such underlying plan documents shall control,¶ <#>COBRA Notification Procedures, The Health Plans require the notifications described below with respect to continuation coverage under COBRA: ¶ (a) Notice of qualifying even[. Under the law, a Covered Individual (or a representative acting on behalf of the Covered Individual) has the responsibility to inform the Health Plans of a divorce, legal separation, or a child losing Dependent status under the Health Plans (the "qualifying event's wi[hln sixty (60) days of the latest of: (i) [he date of the qualifying event; (ii) the date coverage would be lost because of the qualifying event; or (iii) [he date on which [he Covered Individual was informed of the responsibility to provide notice and the procedures for doing so. The notification must be provided in writing and be mailed to the Health Plans. Oral notification, including notification by telephone is not acceptable. Electronic (including emailed or faxed) or hand- delivered notifications are not acceptable. The notification must be postmarked no later than the last day of the sixty (60) day notice penod described above. The notification must:¶ <#>state the name of the Health Plans;¶ <#>State the name and address of [he employee or former employee who is or was covered under the Health Plans;¶ <#>State the name(s) and address(es) of all Covered Individuals who lost coverage due to the qualifying event;¶ <#>Include a detailed description of the event; ' <#>Identify the effective date of the event; and¶ <#>Be accompanied by any documentation providing proof of [he even[ (i.e., the divorce decree).¶ If no notification is received within the required time period, no continuation cove2ge will be provided. If the notification is incomplete, it Deleted: ¶ By: ¶ ICs: ¶ TI © 2009 Hitesman & Associates, P.A. 3J Elk River Municipal Utilities Flexible Benefts Plan (NO. 8.0.0.0)