Termination of Dependent Health Plan Coverage. 9 Written notice from employee upon termination of marriage or 10 domestic partnership or any other change in dependent eligibility is required. 11 Employees are responsible for timely reporting of any change in the eligibility status 12 of enrolled dependent family members to the County Employee Benefits Office. 13 a. Employees whose marriage or domestic partnership ends 14 must complete, sign, and file with the Employee Benefits Office a copy of the 15 statement of Termination of Marriage/Domestic Partnership within ninety (90) days of 16 death, divorce, or dissolution of marriage/domestic partnership. 17 b. Employees must remove from coverage a child who has 18 become ineligible because he or she is twenty-three (23) years old, or for any other 19 reason within ninety (90) days of disqualifying event by completing a Benefit Change 20 form and submitting completed form to the Employee Benefits Office. 21 To protect COBRA rights, employees must notify Employee 22 Benefits Office of the dependent’s status change within sixty (60) days of the 23 qualifying event. Federal law shall govern COBRA eligibility for disqualified 24 dependents.
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Sources: Labor Agreement, Labor Agreement