Agmt23 AETNA - Laserfiche WebLink

Browse Search

HHRC-EOC 02.10.2017 10 Evidence of Coverage Group is responsible for providing you with notice of your right to receive COBRA Coverage. You must provide Group, or Group’s COBRA administrator, with a written request for COBRA Coverage within sixty (60) days of eligibility for such coverage or receipt of notice of the qualifying event. Qualified Members must make payment of Periodic Fees within forty-five (45) days of such written request. Members whose continuation of coverage under COBRA will expire may be eligible for continuation of coverage under Cal-COBRA. B. Cal-COBRA Continuation of Coverage 1) Eligibility for Cal-COBRA Continuation Coverage If Group is subject to the California Continuing Benefits Replacement Act (Cal- COBRA), Members may be entitled to continuation of Group coverage under that act (Cal-COBRA Coverage). Group is subject to Cal-COBRA continuation coverage if it: a) employs 2 – 19 employees on at least 50% of its working days during the preceding calendar year; or if the employer was not in business during any part of the previous year and employed 2 – 19 eligible employees on at least 50% of its working days during the previous calendar quarter; b) is not subject to the federal Consolidated Omnibus Budget Reconciliation Act of 1985, as amended (COBRA). If your employer is subject to Cal-COBRA, you and your dependents may qualify for Cal-COBRA if you would lose coverage due to one of the following Qualifying Events: Termination of employment or reduction in work hours for reasons other than gross misconduct. Death of Enrollee. Termination of eligibility of a spouse due to divorce or legal separation. Termination of eligibility of a dependent child. Covered dependent if Member is entitled to Medicare. Member whose COBRA coverage will expire. Cal-COBRA Coverage extends for up to thirty-six (36) months from the Qualifying Event unless earlier terminated by the occurrence of certain events. Group is responsible for providing you with notice of your right to receive Cal-COBRA Coverage. You must provide Group, or Group’s COBRA administrator, with a written request for Cal-COBRA Coverage within sixty (60) days of eligibility for such coverage or receipt of notice of the Qualifying Event. Qualified Members must make payment of Periodic Fees within forty-five (45) days of such written request. 2) Notification of Qualifying Events It is the responsibility of the Member to notify Group of the occurrence of any of the Qualifying Events noted below within sixty (60) days: REV: 03-10-23 MI ATTY/AGR.2023.039/Aetna (EAP Services Agreement) (Page 34 of 42)