Laserfiche WebLink
<br />(d) Notwithstanding the foregoing, benefit election changes are <br />consistent with status changes for group-term life coverage only if in the case <br />of marriage, birth, adoption, or placement for adoption, the election change is <br />to increase (but not to reduce) the amount of the group-term life insurance <br />coverage and in the case of divorce, legal separation, annulment, or death of a <br />spouse or dependent, the election change is to reduce (but not to increase) the <br />amount of the group-term life insurance coverage. <br /> <br />(e) Notwithstanding subsections (a) and (b), the Participants may <br />change an election for accident or health coverage during a Plan Year and <br />make a new election that corresponds with the special enrollment rights <br />provided in Code Section 9801 (t). <br /> <br />(f) Notwithstanding subsections (a) and (b), in the event of a <br />judgment, decree, or order ("order") resulting from a divorce, legal separation, <br />annulment, or change in legal custody (including a qualified medical child <br />support order defined in ERISA Section 609) which requires accident or health <br />coverage for a Participant's child: <br /> <br />(1) The Plan may change an election to provide coverage for the <br />child if the order requires coverage under the Participant's plan; or <br /> <br />(2) The Participant shall be permitted to change an election to <br />cancel coverage for the child if the order requires the former spouse to <br />provide coverage for such child. <br /> <br />(g) Notwithstanding subsections (a) and (b), a Participant may <br />change elections to cancel accident or health coverage for the Participant or <br />the Participant's spouse or dependent if the Participant or the Participant's <br />spouse or dependent is enrolled in the accident or health coverage of the <br />Employer and becomes entitled to coverage (Le., enrolled) under Part A or Part <br />B of the Title XVIII of the Social Security Act (Medicare) or Title XIX of the <br />Social Security Act (Medicaid), other than coverage consisting solely of <br />benefits under section 1928 of the Social Security Act (the program for <br />distribution of pediatric vaccines). <br /> <br />(h) If the Premium Expense under a health insurance Benefit <br />provided by an independent, third-party provider under the Plan increases or <br />decreases during a Plan Year, then the Plan shall automatically increase or <br />decrease, as the case may be, the Salary Redirections of all affected <br />Participants for such health insurance Benefit. Alternatively, if the Premium <br />Expense increases significantly, the Administrator shall permit the affected <br />Participants to either make corresponding changes in their Premium <br />payments or revoke their elections and, in lieu thereof, receive on a <br />prospective basis coverage under another health plan with similar coverage. <br />In addition, if the coverage under a health insurance Ben~fit provided by an <br />independent, third-party provider is significantly curtailed or ceases during a <br />Plan Year, affected Participants may revoke their elections of such health <br />insurance Benefit and, in lieu thereof, elect to receive on a prospective basis <br />coverage under another health plan with similar coverage. <br /> <br />13 <br />