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Address Changes An enrollee’s address must be kept up to date to ensure that he receives all communications regarding life and health insurance coverage. Active employee’s address changes must be submitted to the employee’s employer unit. Retirees and COBRA participants must submit address changes to Blue Cross & Blue Shield in writing.

When Coverage Ends An active employee’s coverage under the Plan ends at the end of the month in which he terminates from full-time employment. Coverage will also end if any required contributions are not paid, or if the Plan is terminated for some reason. Dependent coverage ends at the same time or at the end of the month in which the Plan is made aware that a dependent is no longer eligible. Coverage ends at the end of the month in which the employee or dependent loses eligibility or contributions cease.

Termination of coverage ends all rights of the participant to benefits under the Plan as of the effective date of coverage termination.

If a school employee terminates employment at the end of a school year, coverage will end

according to this chart:

June 30

July 31

Coverage ends June 30th

Coverage ends July 31st

Receive Final Check

Receive Final Check

If a school employee terminates employment at the end of the school year, but returns to work (with either the same or new district or college) no later than September 1st of the following school year, coverage in the Plan will be reinstated. Reimbursement will be made for any COBRA premiums paid.

If a school employee does not terminate employment at the end of the school year but does not return to work for the fall semester, coverage will terminate at the end of the month in which the school begins fall semester.

Canceling Dependent Coverage To terminate coverage for a dependent, an enrollee must complete an Application for Coverage form, except when termination occurs as a result of employee’s termination of employment. Retroactive terminations are not allowed.

Termination of coverage ends all rights of the participant to benefits under the Plan as of the effective date of coverage termination.

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