Augusta Police Dispatchers Eligibility: Northern New England Benefit Trust

MONTHLY ELIGIBILITY AND ENROLLMENT

Your eligibility for benefits under the Plan depends on the contributions that the Trust receives on your behalf. A member will be eligible for benefits when his employer makes the required contributions for one month. A member’s coverage will be effective on the first day of the month following the month in which the employer makes the required contribution on behalf of the member. A member’s coverage will continue during the month that follows the month in which the employer makes a required contribution on behalf of the member.

A member’s eligibility for benefits ends at midnight of the last day of any month that the member’s employer does not make a contribution to the Trust on the member’s behalf.

Enrollment

Members who meet the eligibility requirements may enroll in the Plan by submitting a completed enrollment application to the Trust. Members who meet the eligibility requirements but who do not enroll in the Plan are entitled to coverage only on an out-of-network basis.

Members must notify the Trust of any event that would change the scope of the coverage provided through the member, including a marriage, divorce, birth, adoption or death.

Termination of Coverage

A member’s coverage under the Plan will end -

At the conclusion of the month after the member’s employment ends;

At the conclusion of the month after the member’s employer ceases to be a contributor;

If the member’s employer fails to make any required contributions;

If the member otherwise becomes ineligible; or

If the Trust ends or modifies the Plan.

A spouse’s coverage under the Plan will end when the member’s coverage ends. A spouse’s coverage also will end upon divorce from the member; provided however, that a former spouse’s coverage will continue under the Plan, if the divorce decree requires coverage for the former spouse; and provided further, that the coverage will end when (a) either the former spouse or the member remarries; (b) the former spouse becomes eligible for Medicare; or (c) the former spouse becomes eligible for coverage under another group plan.

The unmarried child of a member who is between the ages of 19 and 23; is a full-time student in regular attendance (including customary school or college vacations) at an accredited post-secondary school or college including, but not limited to, a university, college, vocational, nursing, trade or technical school; is fulfilling all course requirements as prescribed by such institution and is working toward a degree or certificate issuable by such institution upon completion of the required courses of study; and is primarily dependent upon the member for financial support and maintenance and can be claimed as a dependent for federal income tax purposes. If the dependent is in such attendance during any of the calendar years from age 19 to age 23, coverage will continue until the end of the calendar year. However, verification of compliance with the foregoing requirements must be provided at the beginning of each calendar year in the form of a paid tuition bill or letter from the institution’s authorized office.

If a dependent child is handicapped and incapable of earning his own living as of the time his dependent coverage would otherwise end, the Trust will continue to consider him a covered dependent so long as he remains in such condition, provided that the member has submitted proof of the child’s incapacity to the Trust within 31 days of the date on which the child attained the age of 19.

Notwithstanding anything stated above, if a member dies, his spouse and dependents, if otherwise eligible, will remain covered, at no cost, for a maximum period of one year. Any such periods of coverage will be deducted from the COBRA entitlement of the spouse and/or dependents.

NNEBT