Next: State Vision Plan General Features

State Police Enlisted Unit Benefit Booklet

TERMINATION OF COVERAGE

Cancellation

You may cancel your employee Vision Plan enrollment at any time. The cancellation effective date is the last day of the last payroll period in which a premium contribution is paid.

You may cancel your dependent’s coverage at any time. The cancellation effective date is the last day of the last payroll period in which a dependent contribution, if required, is paid.

In the event of divorce, the cancellation effective date is the date of divorce.

Termination of Employee Coverages

Your coverage under the State Vision Plan will automatically terminate (except as explained in the following NOTE) in the event of the following, whichever occurs first:

• When your employment terminates
• When you are no longer in an eligible classification of employees
• On the last day of the last payroll period for which you made any required premium contribution
• When the entire group contract is discontinued

NOTE: Continuation of Terminated Employee Coverages

You may be eligible to continue State Vision Plan coverages for a period of time under the Continued Group Insurance System (CGIS). This can be done by making direct, full premium payments (including the share of the premium that was paid by the State) in the event of a separation from employment (except retirement), a reduction of hours, a leave of absence or layoff. Contact your human resources office for premium rates and a CGIS application form (DMB-1499 OSE).

The continuation opportunity will end if you fail to make application or if you fail to pay the full CGIS premium within stated time limits.

Termination of Dependent Coverages

Your dependent’s coverage will automatically terminate (except as explained under the “Death” and “Eligibility” sections and in the following NOTE) in the event of the following, whichever occurs first:

NOTE: Continuation of Terminated Dependent Coverages

Your dependents may be eligible to continue terminated State Vision Plan coverage for a period of time under the Continued Group Insurance System (CGIS).  This can be done by making direct, full premium payments (including the share of the premium which was paid by the State) in the event coverage is lost because of your:

• separation from State employment (except retirement)
• leave of absence or layoff, or because of your death
• divorce
• dependent’s age ineligibility

Contact your human resources office for premium rates and a CGIS application form (DMB-1499 OSE).

This continuation opportunity will end if your dependent fails to make application or fails to pay the full CGIS premium within stated time limits.

Continuation of Coverage for Incapacitated Children

If your dependent is an incapacitated child, your coverage for the child will automatically continue at and beyond age 19 as long as he or she continues to be incapacitated and provided coverage does not terminate for any other reason. Your child will be considered incapacitated if he or she is unable to earn his or her own living because of a mental or physical impairment and he or she depends chiefly on you for support and maintenance. Proof that your child is incapacitated must be submitted periodically. Contact your human resources office for additional information if your enrolled child is incapacitated.

Next: State Vision Plan General Features