Consolidated Omnibus Budget Reconciliation Act (COBRA)
This notice is intended to give you a summary of your rights and obligations with respect to COBRA continuation of coverage under Seminole State College Health Plan. You (and if you have family coverage, your spouse) should take the time to read this notice carefully.
The right to elect COBRA continuation coverage
The occurrence of certain qualifying events, make you (and if you have family coverage, your covered dependents) qualified beneficiaries who have the right to elect COBRA Continuation Coverage. Qualifying events are described below:
| Employee | You have the right to elect COBRA Continuation Coverage if you lose your group health coverage under the Plan because of: - reduction of hours of employment; or
- the termination of your employment for reasons other than gross misconduct.
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| Spouse | If you are covered under the Plan, you have the right to elect COBRA Continuation Coverage if you lose group health coverage under the Plan for any of the following reasons: - your spouse's death; or
- the termination of your spouse's employment for reasons other than gross misconduct; or
- a reduction in your spouse's hours of employment; or
- you become divorced or legally separated from your spouse; or
- your spouse becomes entitled to Medicare benefits
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| Child | If you have a dependent covered under the Plan, that child has the right to elect COBRA Continuation Coverage if he/she loses group health coverage under the Plan for any of the following reasons: - the death of the employee; or
- the termination of the employee's employment for reasons other than gross misconduct; or
- a reduction of the employee's hours of employment; or
- employee's divorce or legal separation; or
- employee becomes entitled to Medicare benefits; or
- the dependent child ceases to be a "dependent child" for purposes of eligibility for group health coverage under the Plan.
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Important
You, or a family member, have the responsibility to inform the Plan Administrator within 30 days of a divorce, legal separation, or a child's loss of dependent status under the Plan.
Once the Plan Administrator is notified that one of the qualifying events has occurred, the Plan Administrator will, in turn, notify the qualified beneficiaries of their right to elect COBRA Continuation Coverage.
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