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HHRC-EOC 02.10.2017 ii Evidence of Coverage <br />2) Access ................................................................................................................................................ 8 <br />B. TERMINATED EAP PROVIDERS ................................................................................................................. 9 <br />XIV. CONTINUATION OF GROUP COVERAGE...........................................................................................9 <br />A. COBRA CONTINUATION OF COVERAGE ................................................................................................... 9 <br />B. CAL-COBRA CONTINUATION OF COVERAGE ......................................................................................... 10 <br />1) Eligibility for Cal-COBRA Continuation Coverage........................................................................10 <br />2) Notification of Qualifying Events .................................................................................................... 10 <br />3) Cal-COBRA Enrollment and Premium Information ....................................................................... 11 <br />4) Termination of Cal-COBRA Continuation Coverage .....................................................................11 <br />XV. COMPLAINT AND GRIEVANCE PROCEDURE ................................................................................. 12 <br />XVI. MISCELLANEOUS .................................................................................................................................... 14 <br />A. CONFIDENTIALITY POLICY ...................................................................................................................... 14 <br />B. MEMBER CONSENT ................................................................................................................................. 14 <br />C. PLAN’S POLICIES..................................................................................................................................... 14 <br />D. PLAN’S PUBLIC POLICY COMMITTEE ...................................................................................................... 15 <br />E. TERM AND RENEWAL PROVISIONS .......................................................................................................... 15 <br />F. IMPORTANT INFORMATION ABOUT ORGAN AND TISSUE DONATIONS ..................................................... 15 <br />SCHEDULE OF BENEFITS, LIMITATIONS, AND EXCLUSIONS .................................................................16 <br />A. BENEFITS ................................................................................................................................................ 16 <br />B. LIMITATIONS........................................................................................................................................... 16 <br />C. EXCLUSIONS ........................................................................................................................................... 17 <br />COMPARISON OF BENEFITS .............................................................................................................................. 18 <br />REV: 03-10-23 MI <br />ATTY/AGR.2023.039/Aetna (EAP Services Agreement) (Page 24 of 42)