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2005-013
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Last modified
5/31/2017 2:16:30 PM
Creation date
9/30/2015 4:22:28 PM
Metadata
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Resolutions
Resolution Number
2005-013
Approved Date
02/18/2005
Agenda Item Number
7.K.
Resolution Type
Human Resources
Entity Name
Summary Material Modifications
County Employees
Subject
Cafeteria Plan
Archived Roll/Disk#
3129
Supplemental fields
SmeadsoftID
1177
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these procedures are not followed or if the notice is not provided in writingto the Plan; <br />Administrator or its designee during the 60 -day notice period, any spouse or dependent <br />child who loses coverage will not be offered the option to elect continuation coverage. <br />You must send this notice to the Plan Administrator. <br />NOTICE PROCEDURES: <br />Any notice that you provide must be in writing. Oral notice, including notice by telephone, is not <br />acceptable. You must mail, fax or hand -deliver your notice to the Plan Administrator or other <br />designee as defined by the Employer. <br />If mailed, your notice must be postmarked no later than the last day of the required notice period. <br />Any notice you provide must state: <br />• the name of the plan or plans under which you lost or are losing coverage, <br />• the name and address of the employee covered under the plan, <br />• the name(s) and address(es) of the Qualified Beneficiary(ies), and <br />• the Qualifying Event and the date it happened. <br />If the Qualifying Event is a divorce or legal separation, your notice must include a copy of the <br />divorce decree or the legal separation agreement. <br />Be aware that there are other notice requirements in other contexts, for example, in order to qualify <br />for a disability extension. <br />Once the Plan Administrator or its designee receives timely notice that a Qualifying <br />Event has occurred, COBRA continuation coverage will be offered to each of the qualified <br />beneficiaries. Each Qualified Beneficiary will have an independent right to elect COBRA <br />continuation coverage. Covered employees may elect COBRA continuation coverage for their <br />spouses, and parents may elect COBRA continuation coverage on behalf of their children. <br />For each Qualified Beneficiary who elects COBRA continuation coverage, COBRA <br />continuation coverage will begin on the date that plan coverage would otherwise have been <br />lost. If you or your spouse or dependent children do not elect continuation coverage within the <br />60 -day election period described above, the right to elect continuation coverage will be lost. <br />7. Is a Waiver Before the End of the Election Period Effective to End a Qualified <br />Beneficiary's Election Rights? <br />If, during the election period, a Qualified Beneficiary waives COBRA continuation <br />coverage, the waiver can be revoked at any time before the end of the election period. <br />Revocation of the waiver is an election of COBRA continuation coverage. However, if a waiver <br />is later revoked, coverage need not be provided retroactively (that is, from the date of the loss of <br />coverage until the waiver is revoked). Waivers and revocations of waivers are considered made <br />on the date they are sent to the Plan Administrator or its designee, as applicable. <br />5 <br />
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