Common use of Covered Dependents Clause in Contracts

Covered Dependents. (i) If the Covered Dependent is the Subscriber’s spouse: (A) Death of Subscriber; or (B) Termination of Subscriber’s employment, except for reasons of gross misconduct; or (C) Reduction of Subscriber’s hours to fewer than the minimum required for eligibility for coverage under this Contract; or (D) Divorce or legal separation from Subscriber; or (E) Subscriber’s Medicare entitlement. (ii) If the Covered Dependent is the Subscriber’s child: (A) Child ceases to be a Dependent; or (B) Death of Subscriber; or (C) Termination of Subscriber’s employment, except for reasons of gross misconduct; or (D) Reduction in Subscriber’s hours to less than the minimum required to be eligible as a Subscriber under this Contract; or (E) Subscriber becomes entitled to Medicare; or (F) Parents become divorced or legally separated. The Group must provide notice to the Subscriber and to Covered Dependents, as applicable, of the right to elect COBRA continuation coverage. A Covered Dependent whose coverage is terminated due to divorce, legal separation or cessation of eligibility for Dependent coverage must provide the Group notice of such event within 60 days of its occurrence. An election of continuation coverage must be made within 60 days beginning on the later of the date of the Qualifying Event or the date the Subscriber receives notice of election rights. The COBRA election by a Subscriber or covered spouse is deemed an election by all others who would lose coverage as a result of the same Qualifying Event unless otherwise specified in the election or the Covered Beneficiary independently elects COBRA continuation coverage. If election of COBRA continuation coverage is timely, the coverage begins on the date of the Qualifying Event and ends on the earlier of: (a) Eighteen months after the Subscriber’s employment termination or reduction in hours. (b) Twenty-nine months after the Qualifying Event for (i) a Qualified Beneficiary who is determined to be disabled under the Social Security Act at anytime during the first 60 days of COBRA coverage and who notifies the Group of such determination within the first 18 months of COBRA coverage; and for (ii) any nondisabled Qualified Beneficiaries with respect to the same Qualifying Event.

Covered Dependents. (i) If the Covered Dependent is the Subscriber’s spouse: (A) Death of Subscriber; oror Contract Requisition Number: CR062000 Contract Number: C031823 Vendor Number: V025357 (B) Termination of Subscriber’s employment, except for reasons of gross misconduct; or (C) Reduction of Subscriber’s hours to fewer than the minimum required for eligibility for coverage under this Contract; or (D) Divorce or legal separation from Subscriber; or (E) Subscriber’s Medicare entitlement. (ii) If the Covered Dependent is the Subscriber’s child: (A) Child ceases to be a Dependent; or (B) Death of Subscriber; or (C) Termination of Subscriber’s employment, except for reasons of gross misconduct; or (D) Reduction in Subscriber’s hours to less than the minimum required to be eligible as a Subscriber under this Contract; or (E) Subscriber becomes entitled to Medicare; or (F) Parents become divorced or legally separated. The Group must provide notice to the Subscriber and to Covered Dependents, as applicable, of the right to elect COBRA continuation coverage. A Covered Dependent whose coverage is terminated due to divorce, legal separation or cessation of eligibility for Dependent coverage must provide the Group notice of such event within 60 days of its occurrence. An election of continuation coverage must be made within 60 days beginning on the later of the date of the Qualifying Event or the date the Subscriber receives notice of election rights. The COBRA election by a Subscriber or covered spouse is deemed an election by all others who would lose coverage as a result of the same Qualifying Event unless otherwise specified in the election or the Covered Beneficiary independently elects COBRA continuation coverage. If election of COBRA continuation coverage is timely, the coverage begins on the date of the Qualifying Event and ends on the earlier of: (a) Eighteen months after the Subscriber’s employment termination or reduction in hours. (b) Twenty-nine months after the Qualifying Event for (i) a Qualified Beneficiary who is determined to be disabled under the disabledCounntradcet Rr etqhueisition Number: CR062000 Social Security Act at anytime any time during the first 60 days of COBRA Contract Number: C031823 coverage and who notifies the Group of such determination within withinVendor Number: V025357 the first 18 months of COBRA coverage; and for (ii) any nondisabled Qualified Beneficiaries with respect to the same Qualifying Event.

Covered Dependents. (i) If the Covered Dependent is the Subscriber’s spouse: (A) Death of Subscriber; or (B) Termination of Subscriber’s employment, except for reasons of gross misconduct; or (C) Reduction of Subscriber’s hours to fewer than the minimum required for eligibility for coverage under this Contract; or (D) Divorce or legal separation from Subscriber; or (E) Subscriber’s Medicare entitlement. (ii) If the Covered Dependent is the Subscriber’s child: (A) Child ceases to be a Dependent; or (B) Death of Subscriber; or (C) Termination of Subscriber’s employment, except for reasons of gross misconduct; or (D) Reduction in Subscriber’s hours to less than the minimum required to be eligible as a Subscriber under this Contract; or (E) Subscriber becomes entitled to Medicare; or (F) Parents become divorced or legally separated. The Group must provide notice to the Subscriber and to Covered Dependents, as applicable, of the right to elect COBRA continuation coverage. A Covered Dependent whose coverage is terminated due to divorce, legal separation or cessation of eligibility for Dependent coverage must provide the Group notice of such event within 60 days of its occurrence. An election of continuation coverage must be made within 60 days beginning on the later of the date of the Qualifying Event or the date the Subscriber receives notice of election rights. The COBRA election by a Subscriber or covered spouse is deemed an election by all others who would lose coverage as a result of the same Qualifying Event unless otherwise specified in the election or the Covered Beneficiary independently elects COBRA continuation coverage. If election of COBRA continuation coverage is timely, the coverage begins on the date of the Qualifying Event and ends on the earlier of: (a) Eighteen months after the Subscriber’s employment termination or reduction in hours. (b) Twenty-nine months after the Qualifying Event for: (i) a Qualified Beneficiary who is determined to be disabled under the Social Security Act at anytime any time during the first 60 days of COBRA coverage and who notifies the Group of such determination within the first 18 months of COBRA coverage; and for (ii) any nondisabled Qualified Beneficiaries with respect to the same Qualifying Event.