合规性和眼镜蛇

The Consolidated Omnibus Budget Reconciliation Act (眼镜蛇) of 1985 is a Federal law that requires most employers sponsoring 健康 Care plans to offer employees and their dependents the opportunity for a temporary extension of health coverage under the employer's plan in instances where coverage under the plan might otherwise end.

If you are a BGSU employee covered by the University's 健康 Care Program, you have a right to choose continued coverage if you lose your health coverage because of a change in your classification or termination of employment (for reasons other than gross misconduct).

If you are the spouse of an employee covered by the 健康 Care Program, you have a right to choose continued coverage for yourself if you lose health coverage under the Program due to the following qualifying events:

  • 配偶去世;
  • A termination of your spouse's employment (for reasons other than gross misconduct) or reduction in your spouse's hours of employment;
  • Divorce or legal separation from your spouse; or
  • 你的配偶有资格享受医疗保险.

In the case of a dependent child of an employee covered by the 健康 Care Program, he/she has the right to continuation of coverage if coverage under the Program is lost for any of the following reasons:

  • 雇员双亲死亡;
  • The termination of parent's employment (for reasons other than gross misconduct) or reduction in a parent's hours of employment;
  • 父母离婚或法定分居;
  • A parent becomes entitled to Medicare; or
  • The dependent ceases to qualify for coverage as a "dependent child."

当BGSU收到这些事件之一的通知时, you will be notified in writing that you have the right to choose continuation coverage, 来自Chard Snyder/Ascensus. You have 60 days to choose or reject continuation coverage and then an additional 45 days to pay your first premium. It is your responsibility to notify the 好处 Office and provide a current address.

你有60天的时间,从以下较迟者算起:

  • The date you would lose coverage; or
  • The date you receive notice 来自Chard Snyder/Ascensus of your continuation coverage rights because of one of the events described above.

If you do not choose to continue coverage, your health coverage ends.

如果您选择继续投保, BGSU必须为你提供保险, 作为覆盖范围提供, is identical to the coverage provided under the Plan to similarly situated employees or family members. You may elect to maintain continuation coverage for three years unless you lose your medical coverage because of termination of employment or reduction in hours. In that case, the required continuation coverage period is 18 months. 如果在这18个月期间, another event takes place that would also entitle your spouse or dependent child to continuation coverage, the coverage may be extended to a total of 36 months from the original qualifying event. This provision applies to a dependent other than a spouse or child who became covered after continuation coverage became effective. Your spouse or dependent child can elect to continue the coverage for 36 months from the date of the qualifying event due to your becoming entitled to Medicare.

如果您或您的受保人残疾, 根据社会保障法的定义, at the time of your termination of employment or reduction in hours, and you provide notice of this finding to the 好处 Office within 18 months of your termination of employment or reduction in hours, you may extend the continuation coverage to a total of 29 months. The additional 11 months of continuation coverage will, 然而, be at a higher contribution. In no case will any period of continuation coverage be more than 36 months. 法律, 然而, also provides that your continuation coverage may be terminated before the end of the continuation period (i.e.(18、29或36个月),原因如下:

  • BGSU no longer provides health coverage to any of its employees;
  • The contribution for your continuation coverage is not paid in a timely fashion;
  • 你被另一个计划覆盖了, unless the new plan excludes coverage for a pre-existing condition which you, 你的配偶或受抚养子女有;
  • You become entitled to Medicare; or
  • Your disability ends if the disability occurred while covered under 眼镜蛇.

You do not have to show that you are in good health to choose continuation coverage. You will, 然而, have to pay the full contribution amount for your continuation coverage. The contribution for the additional 11 months of coverage, 如果你根据社会保障法被认定为残疾, 会是定期持续供款的150%吗. You have a grace period of at least 45 days to pay any retroactive contribution for the period from the date continuation coverage starts to the date you chose continuation coverage; and you have a grace period of at least 30 days to pay any subsequent premiums.

Please note that all deadlines with regards to 眼镜蛇 are firm.  Contact the 人力资源厅 for the current 眼镜蛇 rates.

更新日期:2022年10月31日下午03:00