Common use of Available Coverage Clause in Contracts

Available Coverage. The continuation coverage offered is the same as provided to current participating employees of your former employer. You and/or your eligible dependents may elect the following coverage options: ▪ Medical, prescription, dental, vision, and audio. (Based on level of coverage at time of terminating event.) ▪ Medical and prescription drug only. Once the coverage option is selected by active participants and/or their dependents, it cannot be changed. Dependents of retirees may elect to continue medical and prescription drug coverage or medical only. COBRA is only available to individuals who were covered under the Plan at the time of the qualifying event. If you elect COBRA and acquire a new dependent through marriage, birth, adoption or placement for adoption you may add the new dependent to your COBRA coverage by providing written notice to the Administration Office within 60 days of acquiring the new dependent. The written notice must identify the employee, the new dependent, and the date the new dependent was acquired and be mailed to the Administration Office at the address listed on page one. A copy of the marriage certificate, birth certificate or adoption papers must be included with the written notice. If timely written notice is not provided to the Administration Office, you will not be entitled to add a new dependent. Children acquired through birth, adoption or placement for adoption are entitled to extend their continuation coverage if a second qualifying event occurs as discussed below.

Available Coverage. The continuation coverage offered is the same as provided to current participating employees of your former employer. You and/or your eligible dependents may elect the following coverage options: ▪  Medical, prescription, dental, vision, and audio. (Based on level of coverage at time of terminating event.) ▪  Medical and prescription drug only. Once the coverage option is selected by active participants and/or their dependents, it cannot be changed. Dependents of retirees may elect to continue medical and prescription drug coverage or medical only. COBRA is only available to individuals who were covered under the Plan at the time of the qualifying event. If you elect COBRA and acquire a new dependent through marriage, birth, adoption or placement for adoption you may add the new dependent to your COBRA coverage by providing written notice to the Administration Office within 60 days of acquiring the new dependent. The written notice must identify the employee, the new dependent, and the date the new dependent was acquired and be mailed to the Administration Office at the address listed on page one. A copy of the marriage certificate, birth certificate or adoption papers must be included with the written notice. If timely written notice is not provided to the Administration Office, you will not be entitled to add a new dependent. Children acquired through birth, adoption or placement for adoption are entitled to extend their continuation coverage if a second qualifying event occurs as discussed below.