2023 Archdiocese of Atlanta Meritain Group Plan Doc - Manual / Resource - Page 10
TERMINATION OF COVERAGE
Termination of Employee Coverage
Coverage under the Health Care Plan will terminate on the earliest of the following dates:
(1)
The date the Health Care Plan terminates, in whole or in part.
(2)
If you fail to make any contribution when it is due, coverage will be reduced to Employee only (single)
coverage.
(3)
The date you enter military service on a full-time active duty basis other than scheduled drills or other training
not exceeding one month in any Calendar Year.
(4)
The date you terminate employment, retire or cease to be included in an eligible class of Employees.
(5)
The date you (or any person seeking coverage on your behalf) performs an act, practice or omission that
constitutes fraud.
(6)
The date you (or any person seeking coverage on your behalf) makes an intentional misrepresentation of a
material fact.
Termination of Dependent Coverage
Coverage under the Health Care Plan will terminate on the earliest of the following dates:
(1)
The date the Health Care Plan terminates, in whole or in part.
(2)
The date the Health Care Plan discontinues coverage for Dependents.
(3)
The date your Dependent becomes covered as an Employee under the Health Care Plan.
(4)
The date coverage terminates for the Employee.
(5)
If you and/or your Dependents fail to make any contribution when it is due, Dependent coverage will terminate
and coverage for the Employee will be reduced to Employee only (single) coverage in the Medical Value Plan
and the Group Dental and Vision Plan.
(6)
The date the Dependent enters military service on a full-time active duty basis other than scheduled drills or
other training not exceeding one month in any Calendar Year.
(7)
The date a Dependent Spouse ceases to be a Dependent as defined by the Health Care Plan.
(8)
The end of the month in which a Dependent Child attains age 26 unless disabled as defined under Dependent
eligibility.
(9)
The date your Dependent (or any person seeking coverage on behalf of your Dependent) performs an act,
practice or omission that constitutes fraud.
(10) The date your Dependent (or any person seeking coverage on behalf of your Dependent) makes an
intentional misrepresentation of a material fact.
Retroactive Termination of Coverage
Except in cases where you and/or your covered Dependents fail to pay any required contribution to the cost of
coverage, the Health Care Plan will not retroactively terminate coverage under the Health Care Plan unless you
and/or your covered Dependents (or a person seeking coverage on behalf of you and/or your covered Dependents)
performs an act, practice or omission that constitutes fraud with respect to the Health Care Plan or unless the
individual makes an intentional misrepresentation of material fact. In such cases, the Health Care Plan will provide
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