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) <br /> <br />or reduction in hours, the Medicare entitled person may elect up to 18 months of <br />COBRA. If you are that Medicare entitled person, your Dependents may elect COBRA <br />for the longer of 36 months frorn your prior Medicare entitlement date, or 18 months <br />from the date of your termination or reduction in hours; or <br /> <br />b) 36 months for your Dependents, if your Dependents lose eligibility for medical <br />coverage due to your death, your divorce or legal separation, your entitlement to <br />Medicare after your termination or reduction in hours, or your Dependent child ceasing <br />to qualifY as a Dependent under the Plan; or <br /> <br />c) 29 rnonths if you lose coverage due to a termination of employment or reduction in <br />hours and you or a Dependent is disabled, as defIDed by Title 11 or Title XVI of the <br />Social Security Act, within 60 days of the original qualifYing event. In this case, you <br />may continue coverage for an additional II months after the original 18-month period <br />either for the disabled person only or for one or all of your covered family members; or <br /> <br />d) To be eligible for extended coverage due to Social Security disability, you must notifY <br />the Plan Administrator of the disability before the end of the initial 18 months of <br />COBRA continuation coverage and within 60 days following the date you or a covered <br />Dependent is determined to be disabled by the Social Security Administration. If the <br />disabled individual should no longer be considered to be disabled by the Social Security <br />Administration, you must notifY the Plan Administrator within 30 days following the <br />end of the disability. Coverage that has exceeded the original l8-month continuation <br />period will end when the individual is no longer Social Security disabled. <br /> <br />e) If more than one qualifYing event occurs, no more than 36 months total of COBRA <br />continuation coverage will be available. The COBRA beneficiary must experience the <br />second qualifYing event during the first 18 rnonths of COBRA continuation, and must <br />provide notice to the Plan Administrator within the required time period. COBRA <br />continuation coverage will end sooner if the Plan terminates and the employer does not <br />provide replacement medical coverage, or if a person covered under COBRA: <br /> <br />I) First becomes covered under another group health plan after the loss of coverage <br />due to your termination or reduction in hours, unless the new group coverage is <br />limited due to a pre-existing condition exclusion; this Plan will be primary for the <br />pre-existing condition. and secondary for all other eligible health care expenses, <br />provided contributions for COBRA coverage continue to be paid. Coverage may <br />only continue for the rernainder of the original COBRA period; <br /> <br />2) Fails to make required contributions when due; <br /> <br />3) First becomes entitled to Medicare benefits after the initial COBRA qualifYing <br />event; or <br /> <br />) <br /> <br />-) <br /> <br />) <br /> <br />4) Is extending the 18-month coverage period because of disability and is no longer <br />disabled as defIDed by the Social Security Act. <br /> <br />9.05 Continuation Coverage during leaves of absence. <br /> <br />9.05.01 <br /> <br />Family and Medical Leaves of Absence (FMLA). Under FMLA, you rnay be entitled to <br />up to a total of 12 weeks of unpaid, job-protected leave during each calendar year for the <br />following: <br /> <br />a) The birth of your child, to care for your newborn. child, or for placement of a child in <br />your horne for adoption or foster care; <br /> <br />b) To care for your spouse, child or parent with a serious health condition; or <br /> <br />19 <br /> <br />A V -Gl 00-2009 <br />MP-5319 (10/09) <br />