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Failure to provide the required information in writing may affect your rights to <br />continuation coverage. <br />When the Employer is notified, in writing, that one of these events has happened, the <br />Employer, in turn, will notify you that you (or your eligible spouse or dependent) have the right <br />to choose continuation coverage. Generally, after a qualifying event, a qualified beneficiary will <br />have up to 60-days from the later of the date you would lose coverage because of one of the <br />events described above, the actual qualifying event date, or the date notice is provided to you, to <br />elect COBRA continuation coverage. If you waive your election rights during this 60-day <br />election period, you may revoke your waiver by contacting the COBRA administrator before <br />expiration of the original 60-day election period. However, you will not have coverage for any <br />period in which you had waived your election rights. <br />If you do not choose continuation coverage, your group health coverage will end. <br />If you choose continuation coverage, the Employer is required to give you coverage <br />which, as of the time coverage is being provided, is identical to the coverage provided under the <br />COBRA plan to similarly situated employees or family members. This means that if the <br />coverage for similarly situated employees or family members is modified, your coverage will be <br />modified. The law requires that, for your Medical Reimbursement portion of the Plan, you are <br />eligible to continue coverage through the end of the plan year only if the remaining benefits <br />through the end of the plan year exceed the premiums that you would be required to pay through <br />the end of the plan year. For the Medical Reimbursement portion of the Plan to be subject to <br />continuation requirements in the subsequent Plan Year after the year of your qualifying event, the <br />Plan must be subject to HIl'AA portability requirements and the benefits for the year must be <br />greater than the premiums to be paid. In no event will coverage continue more than 18 months <br />after termination of employment or 36 months after any other qualifying event, except in the case <br />of retirement. <br />The law provides that your continuation coverage may be terminated for any of the <br />following reasons: <br />(1) The Employer no longer provides group health coverage to any of its employees; <br />(2) The premium for coverage is not paid on time; <br />(3) The qualified beneficiary becomes covered under another group health, unless that <br />plan limits or excludes a preexisting condition; <br />(4) The qualified beneficiary becomes entitled to Medicare benefits; <br />(5) The qualified beneficiary is no longer eligible for the disability extension. <br />21 <br />