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<br />VII <br />PLAN ACCOUNTING <br /> <br />1. Periodic Statements ................ .................... ............. ...... ................. ....... ......... ............. .........8 <br /> <br />VIII <br />GENERAL INFORMATION ABOUT OUR PLAN <br /> <br />1. General Plan Information ...... ..... .......... ................ ....... ............. ...... .......... .......... ............. ......9 <br /> <br /> <br />2. Employer Information............................................................................................................ 9 <br /> <br />3. Plan Administrator Information .................... ............. ...... ........ ..... ........... ......... ............. .........9 <br />4. Service of Legal Process............. .......................................................................................... 9 <br /> <br /> <br />5. Type of Administration...... ..... ..... ....... ............. ............. ...... ........ ..... .... .... ............ ............. ...... 9 <br /> <br />6. Claims Submission................ ............... .......... .......... ......... .... ....... .......... ............... ....... .......1 0 <br /> <br />IX <br />ADDITIONAL PLAN INFORMATION <br /> <br />1. Claims Process................................................. ,.......................... ................................ .......10 <br /> <br />X <br />CONTINUATION COVERAGE RIGHTS UNDER COBRA <br /> <br />1. What is COBRA continuation coverage? .............................................................................11 <br />2. Who can become a Qualified Beneficiary? ..........................................................................11 <br />3. What is a Qualifying Event? ................................................................................................12 <br />4. What factors should be considered when determining to elect COBRA continuation <br /> <br /> <br />coverage? ............... ................ ............. ....... ...... ....... ................ ................ ....................... ....13 <br /> <br />5. What is the procedure for obtaining COBRA continuation coverage?.................................. 13 <br />6. What is the election period and how long must it last? ........................................................13 <br />7. Is $ covered Employee or Qualified Beneficiary responsible for informing the Plan <br />Administrator of the occurrence of a Qualifying Event? .......................................................14 <br />8. Is a waiver before the end of the election period effective to end a Qualified <br /> <br />Beneficiary's election rights? ................ ....... ...... ... .... ......... .... ... ... .......... ... .... ......... .... .., .......15 <br /> <br />9. Is COBRA coverage available if a Qualified Beneficiary has other group health plan <br />coverage or Medicare?......... ...... .......... ....... ............. ......... .......... ........ ..... .......... ................ .15 <br />10. When may a Qualified Beneficiary's COBRA continuation coverage be terminated?........... 16 <br />11. What are the maximum coverage periods for COBRA continuation coverage? ...................16 <br />12. Under what circumstances can the maximum coverage period be expanded?................... 17 <br />13. How does a Qualified Beneficiary become entitled to a disability extension? ......................17 <br />14. Does the Plan require payment for COBRA continuation coverage? ...................................17 <br />