1980 002 Ordinance - Laserfiche WebLink

Home Browse Search

Important Facts ENROLL NOVO/ Prompt enrollment will be to your advantage. To enroll, complete the enrollment form provided by your employer or Prudential representative. Enroll any dependents (if dependents coverage is provided) so that they will be covered, and be sure you notify your employer of any change in dependent status. EFFECTIVE DATE OF COVERAGE Insurance as described will be effective on the effective date of the plan provided you are actively at work on full- time on that date, have satisfied any employment waiting period and enroll promptly. If you are not actively at work on the effective date of the plan, the insurance will be delayed until you return to work on a full-time basis. Amounts and benefits will be provided in accordance with the provisions of the plan. When dependents coverage is provided, your dependents are covered when your insurance becomes effective. However, if a dependent, other than a newborn child, is confined for medical care or treatment in any institution or at home when coverage would normally start, the effective date of that dependent's insurance will be deferred until final release by the doctor from all such confinement. TERI!/IINATION OF COVERAGE Coverage for you and your dependents will be terminated if: You cease active work on a full-time basis, or You transfer out of the eligible classes, or The insurance for your class terminates, or You fail to make any required contribution, or The policy terminates. The coverage for a dependent will also terminate if he ceases to be an eligible dependent. IMPORTANT: Certain conversion or extension provisions may apply to these terminations. Your certificate will provide these details. This is a brief description of highlights of the plan, not a contract. The benefits are governed by the policy and described in more detail in a certificate that will be issued to you when you become insured. 14