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<br />ATIACHMENT A. PAGE I <br /> <br />VERY IMPORTANT NOTICE <br /> <br />Any questions about this notice should be addressed to the Plan Administrator, your Employer. <br /> <br />CONTINUATION OF COVERAGE NOTICE <br /> <br />In 1986, :l Fcderallaw was enacted requiring most employers sponsoring group health plans to offer employees and their <br />families the opportunity for :l temporary extension of health coverage-cilled continuation of coverage-at group rates in <br />certain inst:mces where covc:rage under the plan would otherwise end. This notice is intended to inform YOU, in a summ:uy <br />fashion, of your rights and obligations under the law. Both you and your spouse should take time to rod this notice <br />carefully. <br /> <br />II you uc 3n employee covered by a group health plan. you have a right to choose this continuation coverage if you lose <br />your group health coverage because of a reduction in your hours of employment or the termination of your employment, <br />except for reasons of gross misconduct on your part. <br /> <br />If you are the spouse of an employee covered by a group health plan, you have the right to choose continuation coverage for <br />yourself if your lose group health coverage under the group health plan for any of the foU~wi.ng reaSons: <br /> <br />1. the death of your spouse; <br />2. a termination of your spouse's employment (for re:lSons other than gross misconduct) or reduction in <br />your spouse's hours of employment; <br />3. divorce or legal separation from your spouse; or <br />4. your spouse becomes entitled to Medic:lre. <br /> <br />In case of a covered dependent child or an employee covered by a group he:1lth plan, he or she has the right to continu:ltion <br />coverage group health coverage is lost for any of the following reasons: <br /> <br />1. the death of a parent; <br />2. the termination of a parent's employment (for re:lsons other than gross misconduct) or reduction in <br />parent's hours of employment; <br />3. paren!"s divorce or legal sep:lration; <br />4. a parent becomes entitled to Medicare; or <br />5. the dependent ceases to be a dependent child under the group health plan. <br /> <br />Under the 13w, the employee or a family member has 60 days to inform the employer of a divorce, legal sepantion, or <br />a child's losing dependent status under the group health p13n. <br /> <br />When the employer is notified that one of these events has happened, the employer will in turn notify you and your covered <br />dependent that your have the right to choose continuation coverage. <br /> <br />UDder the Jaw, you have 60 days from the date you would lose coverage because of ODe of the previously described eveDlS to <br />inform your employer that you want continuation coverage. <br /> <br />If you choose continuation of coverage, your employer is required to offer you coverage which, as of the time coverage is <br />being provlded, the same as the coverage provided under the plan to active employees and their family members. The law <br />requires that you be afforded the opportunity to maintain conti.nuation of coverage for: <br /> <br />1. <br /> <br />Up to eighteen (18) months if you as an employee or dependent lose coverage due to: <br />a. Termination of employment; <br />b. Reducti.on i..n hours; <br /> <br />2. <br /> <br />Up to twenty-nine (29) months if you a'i an employee or dependent qualify as totally disabled under Social <br />Security and your di.sability began prior to your quali.fYlng event. <br /> <br />kniledU201?6 <br />111llch.uloc <br /> <br />Tfi[ <br /> <br /> <br />GHOUl' III::Nl::n'fS KISK POOL <br />