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Social Security Act ( Medicare ) or Title XIX of the Social Security Act ( Medicaid ) , <br /> other than coverage consisting solely of benefits under Section 1928 of the Social <br /> Security Act (the program for distribution of pediatric vaccines ). If the Participant or <br /> the Participant's spouse or dependent who has been entitled to Medicaid or <br /> Medicare coverage loses eligibility, that individual may prospectively elect <br /> coverage under the Plan if a benefit package option under the Plan provides <br /> similar coverage . <br /> ( e ) If an Employer Sponsored Benefit is offered , and the cost of a <br /> benefit provided under the Plan increases or decreases during a Plan Year, then <br /> the Plan shall automatically increase or decrease , as the case may be , the <br /> Salary Redirections of all affected Participants for such Benefit. Alternatively, if <br /> the cost of a benefit package option increases significantly, the Administrator <br /> shall permit the affected Participants to either make corresponding changes in <br /> their payments or revoke their elections and , in lieu thereof, receive on a <br /> prospective basis coverage under another benefit package option with similar <br /> coverage , or drop coverage prospectively if there is no benefit package option <br /> with similar coverage . <br /> A cost increase or decrease refers to an increase or decrease in the <br /> amount of elective contributions under the Plan , whether resulting from an action <br /> taken by the Participants or an action taken by the Employer. <br /> If the coverage under a Benefit is significantly curtailed or ceases during a <br /> Plan Year, affected Participants may revoke their elections of such Benefit and , <br /> in lieu thereof, elect to receive on a prospective basis coverage under another <br /> plan with similar coverage , or drop coverage prospectively if no similar coverage <br /> is offered . <br /> If, during the period of coverage , a new benefit package option or other <br /> coverage option is added , an existing benefit package option is significantly <br /> improved , or an existing benefit package option or other coverage option is <br /> eliminated , then the affected Participants may elect the newly-added option , or <br /> elect another option if an option has been eliminated prospectively and make <br /> corresponding election changes with respect to other benefit package options <br /> providing similar coverage . In addition , those Eligible Employees who are not <br /> participating in the Plan may opt to become Participants and elect the new or <br /> newly improved benefit package option . <br /> A Participant may make a prospective election change to add group <br /> health coverage for the Participant , the Participant's spouse or dependent if such <br /> individual loses group health coverage sponsored by a governmental or <br /> educational institution , including a state children ' s health insurance program <br /> under the Social Security Act , the Indian Health Service or a health program <br /> offered by an Indian tribal government , a state health benefits risk pool , or a <br /> foreign government group health plan . <br /> A Participant may make a prospective election change that is on account <br /> of and corresponds with a change made under the plan of a spouse's , former <br /> spouse' s or dependent' s employer if ( 1 ) the cafeteria plan or other benefits plan <br /> of the spouse' s , former spouse's or dependent' s employer permits its participants <br /> to make a change ; or (2 ) the cafeteria plan permits participants to make an <br /> election for a period of coverage that is different from the period of coverage <br /> under the cafeteria plan of a spouse's , former spouse 's or dependent' s employer . <br /> 10 <br />