Eligibility

Coverage for Young Adults

When children you cover under MPTN’s health care plans lose eligibility for coverage (by getting married, starting full-time work, reaching the dependent age limit, etc.), they are eligible to use MPTN COBRA to continue their coverage. See “Eligibility and Enrolling” in the Health Care Benefits section for information on when eligible dependent children lose eligibility.

You may apply for MPTN COBRA health care coverage for yourself and your covered family members if the health care coverage that you have through MPTN would otherwise end because you are no longer eligible (even if you are still a team member of MPTN). One exception applies: You and your covered family members are not eligible for MPTN COBRA coverage if you are terminated for gross misconduct.

MPTN COBRA continuation is available if your MPTN health care coverage ends because:

  • your hours have been reduced below the minimum to continue coverage,
  • your active work status has changed due to your resignation, termination, long-term disability, or leave of absence, or
  • MPTN is subject to a bankruptcy proceeding.

 

Your covered family members may apply for MPTN COBRA health coverage if their coverage would otherwise end:

  • because of your death, divorce, or entitlement to Medicare,
  • because your dependent child becomes ineligible as a result of reaching the dependent age limit, or
  • for some other reason.

 

See “Eligibility and Enrolling” in the Health Care Benefits section for a description of eligible family members.

Changes in Status

Although you are covered through MPTN COBRA, you can change your coverage in case of a qualified change in status, such as your marriage or the birth of a child. You must notify Human Resources within 30 days after the change in status if you want to make a change. If you meet the 30-day deadline, the change in MPTN COBRA health coverage will be retroactive to the date of the change in status for the birth or adoption of a child. Changes due to marriage, divorce, or any other qualified change in status will be effective on the first of the month following the enrollment.

For more information on qualifying changes in status, see “Qualified Change in Status” in the Rules and Regulations section.

 
 
 
 

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