Insurance Continuation after FMLA Leave
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Questions and Answers

What is the requirement for placing in force any Scheduled Benefit that would have been subject to Proof of Good Health had the Member remained continuously insured?

Proof of Good Health will be required to place in force any Scheduled Benefit that would have been subject to Proof of Good Health had the Member remained continuously insured.

How is the period of time during which a reinstated Member's insurance was not in force treated for the purpose of determining the length of continuous coverage under the Group Policy?

a) The period of time during which a reinstated Member's insurance was not in force will not be considered an interruption of continuous coverage, and b) will not be used to satisfy any provision of this Group Policy which pertains to a period of continuous coverage.

What provision may allow for a longer reinstatement period for an approved leave of absence taken in accordance with the Uniformed Services Employment and Reemployment Rights Act of 1994 (USERRA)?

A longer reinstatement period may be allowed for an approved leave of absence taken in accordance with the provisions of the federal law regarding the Uniformed Services Employment and Reemployment Rights Act of 1994 (USERRA).

How may a Member's terminated insurance be reinstated in accordance with the provisions of the Federal Family and Medical Leave Act (FMLA)?

<p>A Member's terminated insurance may be reinstated in accordance with the provisions of the Federal Family and Medical Leave Act (FMLA), subject to the Actively at Work and Period of Limited Activity provision discussed in PART III, Section B.</p> Signup and view all the answers

What provisions will apply to the Member's reinstated insurance when they return to work?

<p>The Actively at Work and Period of Limited Activity provisions discussed in PART III, Section B, will apply to the Member's reinstated insurance.</p> Signup and view all the answers

When will the Member's reinstated insurance be in force?

<p>The Member's reinstated insurance will be in force on the date of return to work.</p> Signup and view all the answers

What are the two conditions under which a full-time student status can be maintained for a Member or Dependent while outside the United States?

<p>A full-time student status can be maintained for a Member or Dependent while outside the United States if they are: (1) enrolled and attending an accredited school in a foreign country; or (2) participating in an academic program in a foreign country, for which the institution of higher learning at which the student is enrolled in the U.S. grants academic credit.</p> Signup and view all the answers

How long will the six-month period for maintaining full-time student status not be reduced?

<p>The six-month period for maintaining full-time student status will not be reduced for any time covered under a Prior Policy.</p> Signup and view all the answers

What happens to the coverage for a Member or Dependent who is outside the United States for any reason other than those listed above?

<p>If a Member or Dependent is outside the United States for any other reason than those listed above, coverage for the person concerned will automatically terminate.</p> Signup and view all the answers

Under what two conditions may a Member's insurance be continued if Active Work ends due to sickness or injury (other than ADL Disability or Total Disability)?

<p>If Active Work ends because a Member is sick or injured but not ADL Disabled or Totally Disabled, insurance for that Member may be continued until the earlier of: (1) the date insurance would otherwise cease as provided in PART III, Section C; or (2) the date the Member recovers.</p> Signup and view all the answers

Under what four conditions may a Member's insurance be continued if Active Work ends due to layoff or approved leave of absence?

<p>If Active Work ends because a Member is on layoff or approved leave of absence, insurance for that Member may be continued until the earliest of: (1) the date insurance would otherwise cease as provided in PART III, Section C, Article 1 a.; (2) the end of the layoff or approved leave of absence; (3) the date the Member fails to pay any required premium; or (4) the date the policy is terminated.</p> Signup and view all the answers

How does the Family and Medical Leave Act (FMLA) affect the continuation of insurance for a Member who is on approved leave of absence?

<p>The text does not mention the Family and Medical Leave Act (FMLA) or how it affects the continuation of insurance for a Member who is on approved leave of absence. The information provided focuses on the conditions for continuing insurance during layoff or approved leave of absence, without specific reference to FMLA.</p> Signup and view all the answers

Under what circumstances can a Member's insurance be continued after they cease Active Work?

<p>A Member's insurance can be continued if they become totally disabled, are temporarily laid off, or take an approved leave of absence under FMLA.</p> Signup and view all the answers

How long can a Member's insurance be continued if they become totally disabled?

<p>The Member's insurance can be continued during the uninterrupted period of total disability, subject to the policy's terms.</p> Signup and view all the answers

What happens to a Member's insurance if they are temporarily laid off?

<p>If a Member is temporarily laid off, their insurance can be continued for one month after the date Active Work ends.</p> Signup and view all the answers

How is insurance handled for Members on approved leave under the Family and Medical Leave Act (FMLA)?

<p>If a Member ceases Active Work due to an approved FMLA leave, the Policyholder may choose to continue the Member's insurance, subject to premium payment.</p> Signup and view all the answers

If a Member qualifies for continuation under multiple provisions, how is the continuation period determined?

<p>If a Member qualifies for continuation under more than one provision, the longest period of continuation will be applied, and all periods will run concurrently.</p> Signup and view all the answers

What is the maximum age for a Developmentally Disabled or Physically Handicapped child to be covered under Dependent Life Insurance?

<p>The text does not specify a maximum age for Developmentally Disabled or Physically Handicapped children to be covered under Dependent Life Insurance.</p> Signup and view all the answers

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