2017 011 Ordinance - Laserfiche WebLink

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SECTION III ELIGIBILITY 3.01. General requirements Each Employee who has enrolled in the qualifying Employer sponsored fully insured benefit plan under which accident and health benefits are provided, is eligible to participate in this Plan as of the Effective Date or any subsequent date which coordinates with the effective date of the primary, fully insured benefit plan. 3.02. Reentry after uniformed service duty No reentry eligibility requirements will be imposed on any Employee who returns to active employment within 90 days of completing a period of absence from employment for duty in the Uniformed Services. 3.03. Termination of a Participant's coverage Except as provided in Section VI, coverage of a Participant shall terminate automatically on the date that the Participant-- (a) no longer is eligible to participate in the employer sponsored fully insured program, based upon the eligibility requirements set forth therein; (b) has declined participation in the qualifying employer sponsored fully insured program; (c) is not covered because the provisions of the Plan terminated; (d) and/or is no longer an employee and has exhausted his/her Health Reimbursement Account Balance. 3.04. Termination of coverage of an Eligible Dependent Except as provided in Section VI, an Eligible Dependent's coverage shall terminate-- (a) on the dates described in Section 3.03, as if the references to "Participant" were to "Eligible Dependent"; (b) for an Eligible Dependent other than the Spouse of a Participant, coverage shall automatically terminate when an individual who had been an Eligible Dependent no longer qualifies as such based upon the eligibility requirements of the employer sponsored fully insured plan. The dates referred to in this Section may be modified by the terms of Section VI CONTINUATION COVERAGE. Mayfield Village HRA Plan 0117.doc