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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 /> <br /> <br />4. Service of Legal Process....................................................................................................... 9 <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? ........................................................................................................................... 12 <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 a covered Employee or Qualified Beneficiary responsible for informing the Plan <br />Administrator of the occurrence of a Qualifying Event? .......................................................13 <br />8. Is a waiver before the end of the election period effective to end a Qualified <br />Beneficiary's election rights? ............................................................................................... 15 <br />9. Is COBRA coverage available if a Qualified Beneficiary has other group health plan <br /> <br /> <br />coverage or Medicare?........... ...................... .... ....... ........... ..... ... ................ .......... .... ...... ....15 <br /> <br />10. When may a Qualified Beneficiary's COBRA continuation coverage be terminated?.......... 15 <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? ....................16 <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 />