If you or a dependent are
totally disabled when coverage under this plan terminates, you or your dependent
can apply for an Extension of Benefits. An Extension of Benefits provides
continued coverage but only for treatment of the condition that caused the
disability. To qualify, the disabled person must meet the following
conditions:
- The
disabled person became totally disabled while covered under this plan (please
see Total
Disability).
- The
disabled person must remain under the continuous care of the attending physician
(MD or DO only). Periodic proof of the disability must be submitted during the
Extension of Benefits
period.
The
disabled person must contact the Trust Office for an application. The completed
application must then be received by the Trust Office within 60 days from loss
of eligibility.
An Extension of Benefits
continues for a maximum of 12 months or earlier if the disabled person is no
longer considered totally disabled, plan maximums are exhausted or the disabled
person is or becomes covered under any other group plan. There is no monthly
contribution or other charge for this extension.
If
you or a dependent elect an Extension of Benefits in lieu of COBRA coverage, you
cannot elect COBRA when the Extension of Benefits terminates.