SBF Summary Plan Handbook - CWA Local 1180

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SBF Summary Plan Description 06-11-12 How Do I Add COBRA Coverage for New Dependents If while you are enrolled for COBRA Continuation Coverage, you marry, have a newborn child, adopt a child or have a child placed with you for adoption, you may enroll that spouse or child for coverage for the balance of the period of your COBRA Continuation Coverage. You must notify the Fund Office in writing within 30 days of the marriage, birth, adoption or placement for adoption in order to add the child or spouse to your coverage. Adding a child or spouse may cause an increase in the amount you must pay for COBRA Continuation Coverage. If COBRA coverage ceases for you before the end of the maximum 36 month COBRA coverage period, COBRA coverage also will end for your newly added spouse. However, COBRA coverage can continue for your newly added newborn child, adopted child, or child placed for adoption until the end of the maximum COBRA coverage period if the required premiums are paid on time. Check with the Fund for more details on how long COBRA coverage can last. What If My Spouse or Dependents Lose Other Health Insurance Coverage If, while you are enrolled for COBRA Continuation Coverage, your spouse or dependent loses coverage under another group health plan or other health insurance coverage, you may enroll the spouse or dependent for coverage for the balance of the period of COBRA Continuation Coverage. The spouse or dependent must have been eligible for but not enrolled for coverage under the terms of this Fund. You must notify the Fund Office in writing within 30 days of the termination of the other coverage in order to add your dependents. How Much Does COBRA Continuation Coverage Cost By law, any person who elects COBRA Continuation Coverage will have to pay the full cost of the COBRA Continuation Coverage. The Fund is permitted to charge the full cost of coverage for similarly situated covered members and families plus an additional 2%. The costs are fixed for the period September 1 to August 31, but are likely to change annually. The Trade Act of 2002 created a new tax credit for certain individuals who become eligible for trade adjustment assistance (eligible individuals). Under the new tax - 22 -
SBF Summary Plan Description 06-11-12 provisions, eligible individuals can either take a tax credit or get advance payment of 65% of premiums paid for qualified health insurance, including continuation coverage. If you have questions about these new tax provisions, you may call the Health Care Tax Credit Customer Contact Center toll-free at 1-866-628-4282. TTD/TTY callers may call toll free at 1-866-626-4282. More information is also available at http://www.doleta.gov/tradeact/2002act_index.cfm When And How Must Payment For Continuation Coverage (COBRA) Be Made If you elect Continuation Coverage, you do not have to send payment when you apply. However, no benefits will be paid until the initial payment is received. The initial payment for COBRA Continuation Coverage, retroactive to the date your active coverage terminated, is due 45 days after COBRA Continuation Coverage is actually elected (i.e., the date the Election Form is postmarked, if mailed). If this first payment is not made within that 45 day period, COBRA Continuation Coverage will not take effect and you will lose all Continuation Coverage rights under the plan. Your first payment must cover the cost of Continuation Coverage from the time your coverage under the Plan would otherwise have terminated up to the time you make the first payment. You are responsible for making sure that the amount of your first payment is enough to cover this entire period. You may call the Fund Office to confirm the correct amount of your first payment. Your first payment for Continuation Coverage should be sent to: Fund Administrator CWA Local 1180 Security Benefits Fund 6 Harrison Street New York, NY 10013-2898 After you make your first payment for Continuation Coverage, you must pay for Continuation Coverage for each subsequent month of coverage. Payments are due on the first day of each month, but there will be a 30-day grace period to make those payments. Payment is considered made when it is postmarked. While payment within the grace period will maintain your coverage, no claims incurred in that month will be paid until the premium is received. If you fail to make a periodic payment before the end of the grace period for that payment, you will lose all rights to Continuation Coverage under the Plan. - 23 -
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SBF Summary Plan Handbook - CWA Local 1180

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