Coverage After the Extended Benefits Period Ends:

Your enrolled spouse who has not remarried, or your domestic partner who has not entered into another domestic partner relations, and eligible dependent children will be allowed to continue those benefits otherwise available through COBRA on a self-pay basis under the Fund after the extended benefits period (see page 13) ends. This is available to your eligible dependents only if you completed at least ten years of service.

Notification:

An enrolled dependent survivor who wishes to continue coverage under the Fund must make application and the required payment for the coverage within 90 days of the death of the employee. Applications made after this period of time may be denied. For information on the cost or duration of dependent survivor coverage, contact the Benefit Fund Administrator.

Coverage For Your Enrolled Dependents If Your Spouse or Domestic Partner Loses Eligibility or Dies:

If your enrolled surviving spouse remarries or dies or your domestic partner enters another domestic partner relationship or dies, your eligible enrolled dependent children may continue their coverage as dependent survivors until they no longer meet the eligibility requirements as dependents. If they no longer meet these requirements, they may continue coverage through COBRA (see COBRA Section on page 46). If your survivor is eligible for dependent survivor coverage but chooses not to participate or fails to make the required payments, coverage will be terminated permanently. Your survivor may not re-enroll.

If Your Family is Not Eligible for Dependent Survivor Coverage:

If your enrolled spouse and dependents are not eligible for survivor coverage under the Fund, they may continue their coverage for a limited time under COBRA. (See COBRA Section on page 46).

BENEFITS QUESTIONS? PLEASE CONTACT MARY AT (631) 732-6500.

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