2021-089C - Laserfiche WebLink

Home Browse Search

DocuSign Envelope ID: FAA4141C-02DF-41 B5-A6D3-14CDB4ABD65B 3. Employer Responsibilities. (a) As soon as is practicable after this Agreement is signed, the Employer shall obtain from each insurance company, Health Maintenance Organization or other entity that is providing coverage under the Plan (a "Coverage Provider") authorization for P&A to communicate with it directly regarding the subject matter of this Agreement. (b) The Employer shall notify P&A as soon as possible, but not later than thirty (30) days, following the occurrence of any of the following events: (1) the commencement of coverage for any person under the Plan; (2) the death of a covered employee; (3) the termination (other than by reason of gross misconduct) or reduction of hours of a covered employee's employment; (4) a covered employee becoming entitled to Medicare benefits under title XVI I I of the Social Security Act; (5) a proceeding regarding the Employer's bankruptcy under title 11 of the United States Code that affects the benefits of a retired employee or his spouse or dependents of the Employer; or (6) in accordance with any change in a law or regulation requiring group health plan continuation coverage after the date of this Agreement, any other event the occurrence of which requires notification by an Employer to a plan administrator, but only after P&A advises the Employer of such change. Such notification shall be made by electronic transmission via P&A's web portal or U.S. mail, using forms provided by P&A for this purpose. (c) The Employer shall notify P&A as soon as possible, but not later than five (5) days after the Employer is notified by an employee, spouse or dependent of following the occurrence of any of the following events: (1) The divorce of the employee from the employee's spouse (or their legal separation, but only if such event causes the spouse to lose his or her coverage under the terms of the Plan); or (2) A dependent child ceasing to be a dependent child under the requirements of the Plan. Such notification shall be made by electronic transmission, using forms provided by P&A for this purpose. 5