AETNA PPO PLAN - My Benefits Portfolio - Trinity Health

effective date of such change. However, election changes made due to a special enrollment right as
provided by HIPAA may result in coverage being made available retroactively to the date of the qualified
change in status event.
ENROLLING AFTER YOU WAIVE PARTICIPATION
If you choose not to participate in the Plan, your next opportunity to enroll will be during the next Annual
Open Enrollment unless you have a qualified change in status event or there is a special enrollment right.
LEAVES OF ABSENCE
If you are not at work due to an unpaid, Employer-approved leave of absence, period of military service
lasting more than 30 days, or any other reason that creates a legal obligation for the Employer to extend
coverage under the Plan, you may, at your option, continue coverage during the period of absence in
accordance with your Employer’s leave of absence policy.
If you are absent from work for any paid leave of absence you must continue the coverage you elected
under the Plan and your contributions for the coverage will continue to be deducted from your paychecks
during the absence.
If your Employer is subject to the Family and Medical Leave Act of 1993, as amended (the “FMLA”), then
the FMLA policies of your Employer shall control. You should refer to your Employer’s internal FMLA
policies for further guidance on FMLA leave.
REHIRED ASSOCIATES
If you separate from service with your Employer before becoming a participant and you are later reemployed
by your Employer, you must satisfy the eligibility requirements in order to participate in the Plan
without regard to any prior period of employment with an Employer.
If you separate from service with your Employer after becoming a participant and you are rehired into a
benefits-eligible position in the same Plan Year, you (and your Dependents, if applicable) will immediately
participate in the Plan on your reemployment date. You will have the opportunity to re-elect your benefits
at this time or to be re-enrolled in the benefit options you had previously elected.
NOTE: Amounts previously credited toward your plan accumulators (i.e. deductible, out-of-pocket
maximum) within a calendar year will be carried forward.
WHEN COVERAGE ENDS
Your participation in this Plan will end on the earliest of the following dates:
• The last day of the pay period in which your employment with your Employer ceases;
• The date of your death;
• The last day of the pay period in which a change in employment status occurs that affects your
eligibility to participate in the Plan (i.e., reduction in hours that causes you to be ineligible to
participate);
• The last day of the pay period in which you make a contribution toward the cost of coverage under
the Plan; or
• The date the Plan is terminated.
Your spouse’s coverage under the Plan will end on the earliest of:
• The date of your divorce or legal separation;
• The last day of the pay period in which your employment with your Employer ceases;
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