| Navigation Options | |
 |
|
|
Table of Contents |
|
|
| Detailed Table of Contents | |
|
|
| Index | |
|
|
Your Rights and Responsibilities
Special Extensions of Coverage
Your Legal Right to Continuation Coverage Under COBRA
Coordinating Benefits With Other Programs
Situations Affecting Your Benefits
Enrolling for Coverage
Enrolling Yourself and Your Eligible Dependents
Special Enrollment Opportunities
If you elect “No Coverage” for yourself and/or your eligible dependents because you or they have other coverage, you may, in the future, be able to enroll yourself and/or your eligible dependents in the Program. To do so, notify the eligibility administrator within 30 days after your other coverage ends.
Or, if you and/or your eligible dependents had coverage under another group health plan at the point when you declined coverage for yourself and/or your eligible dependents under the Program, then you and/or your eligible dependents may enroll within 30 days of losing such coverage if:
 | It is COBRA continuation coverage under another plan that is exhausted; or |
| It is not COBRA continuation coverage that is lost, and the loss of coverage is due solely to a loss of eligibility, a termination of contributions, or a loss of coverage by its sponsor. |
For special enrollment purposes, loss of eligibility for coverage does not include loss due to a failure to pay premiums or termination of coverage for reason of bad conduct.
In addition, if you elect “No Coverage” and later gain a new eligible dependent as a result of marriage, birth, adoption, or placement for adoption, you may enroll yourself and/or your eligible dependents as long as you notify the eligibility administrator within 30 days after the marriage, birth, adoption, or placement for adoption.
