h. Contract approval
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h. Contract approval
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<br />(5) Residency: A change in the place of residence of the Participant, <br />Spouse or Dependent, that would lead to a change in status (such as a <br />loss of HMO coverage). <br /> <br />For the Dependent Care Flexible Spending Account, a Dependent <br />becoming or ceasing to be a "Qualifying Dependent" as defined under Code <br />Section 21(b) shall also qualify as a change in status. <br /> <br />(b) Special enrollment rights. Notwithstanding subsection (a), the <br />Participants may change an election for accident or health coverage during a <br />Plan Year and make a new election that corresponds with the special enrollment <br />rights provided in Code Section 9801 (f). Such change shall take place on a <br />prospective basis, unless otherwise required by Code Section 9801 (f) to be <br />retroactive. <br /> <br />(c) Qualified Medical Support Order. Notwithstanding subsection <br />(a), in the event of a judgment, decree, or order (including approval of a property <br />settlement) ("order") resulting from a divorce, legal separation, annulment, or <br />change in legal custody which requires accident or health coverage for a <br />Participant's child (including a foster child who is a Dependent of the Participant): <br /> <br />(1) The Plan may change an election to provide coverage for the child <br />if the order requires coverage under the Participant's plan; or <br /> <br />(2) The Participant shall be permitted to change an election to cancel <br />coverage for the child if the order requires the former Spouse to provide <br />coverage for such child, under that individual's plan and such coverage is <br />actually provided. <br /> <br />(d) Medicare or Medicaid. Notwithstanding subsection (a), a <br />Participant may change elections to cancel accident or health coverage for the <br />Participant or the Participant's Spouse or Dependent if the Participant or the <br />Participant's Spouse or Dependent is enrolled in the accident or health coverage of <br />the Employer and becomes entitled to coverage (Le., enrolled) under Part A or Part <br />B of the Title XVIII of the Social Security Act (Medicare) or Title XIX of the Social <br />Security Act (Medicaid), other than coverage consisting solely of benefits under <br />Section 1928 of the Social Security Act (the program for distribution of pediatric <br />vaccines). If the Participant or the Participant's Spouse or Dependent who has <br />been entitled to Medicaid or Medicare coverage loses eligibility, that individual may <br />prospectively elect coverage under the Plan if a benefit package option under the <br />Plan provides similar coverage. <br /> <br />(e) Cost increase or decrease. If the cost of a Benefit provided <br />under the Plan increases or decreases during a Plan Year, then the Plan shall <br />automatically increase or decrease, as the case may be, the Salary Redirections <br />of all affected Participants for such Benefit. Alternatively, if the cost of a benefit <br />package option increases significantly, the Administrator shall permit the affected <br />Participants to either make corresponding changes in their payments or revoke <br />their elections and, in lieu thereof, receive on a prospective basis coverage under <br />another benefit package option with similar coverage, or drop coverage <br />prospectively if there is no benefit package option with similar coverage. <br /> <br />A cost increase or decrease refers to an increase or decrease in the <br />amount of elective contributions under the Plan, whether resulting from an action <br />taken by the Participants or an action taken by the Employer. <br /> <br />10 <br />
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