Coverage under the plan will terminate on the earliest of the following conditions:
- Your employment terminates
- The Group Agreement terminates
- You are no longer eligible for County benefits
- You become covered under another health plan or under any other plan offered in connection with the County
Termination will be effective on the date indicated in the official plan document.
If a Dependent Is No Longer Eligible
A covered dependent loses eligibility on the last day of the pay period during which:
- You become ineligible to receive County benefits
- Your child attains age 26; an exception is a disabled child
- The final decree of divorce is granted or Domestic Partnership termination with the State
You are responsible for notifying the County, within 60 days, when a dependent loses eligibility for coverage. It is your responsibility to complete a Benefits Election Agreement and submit it to your Payroll Specialist within 60 days of the date a dependent loses eligibility. If you fail to notify the County within 60 days, you might be liable for any claims paid or services rendered on behalf of an ineligible family member.
Your notification within 60 days is very important. At the time the County learns that a dependent is no longer eligible for coverage, the termination effective date will be retroactive to the last day of the pay period in which eligibility was lost. The County's agreements, plan documents and administrative policies require the County to notify the plans within specified time frames. Employees who fail to notify the County within 60 days might experience a loss of premiums and/or ability to delete dependents.
Also note that your former spouse/domestic partner must be removed from your medical and/or dental plan coverage even if the divorce settlement requires you to provide coverage. Your ex-spouse will be eligible for
if you provide notice of your divorce within 60 days of the event date.