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When Coverage EndsUpon timely notice to TRS-ActiveCare from the participating employer, TRS-ActiveCare employee coverage will end:%u2022 The last day of the month the employee%u2019s employment ends unless otherwise provided by TRS rules or law.%u2022 The last day of the month the employee is expelled from the TRS-ActiveCare program.%u2022 The last day of the month in which an employee is no longer eligible for TRS-ActiveCare coverage (such as the employee%u2019s TRS retirement date or as allowed by TRS Rule 41.38).*%u2022 The last day of the month for which the employee made the required premium contribution payments.%u2022 The last day of the month in which the employee enters into active, full-time military, naval, or air service except as provided under the Uniformed Services Employment and Reemployment Rights Act of 1994 or other applicable law.%u2022 The last day of the month in which eligibility for COBRA continuation coverage expires.%u2022 If a participating employer fails to make all premium payments for a period of at least 90 days.%u2022 The day the TRS-ActiveCare program is terminated.%u2022 End of the plan year in which your employer discontinues participation in TRS-ActiveCare.Based on the rules listed above mid-month coverage cancellations are not allowed. An employee may still terminate mid-month but coverage must go through the end of the month.Benefits Administrators should enter future termination dates for employees using the bswift Enrollment Portal or your Third-Party Enrollment Portal.Upon timely notification to TRS-ActiveCare from the participating employer, a dependent%u2019s coverage will end:%u2022 When the employee%u2019s coverage ends.%u2022 The last day of the month in which he or she loses their status as an eligible dependent (for example, a spouse%u2019s coverage will end if an employee gets divorced).%u2022 The last day of the month in which he or she enters into active, full-time military, naval or air service except as provided under the Uniformed Services Employment and Reemployment Rights Act of 1994 or other applicable law.%u2022 The last day of the month in which eligibility for COBRA continuation coverage expires.%u2022 The last day of the month for which the employee made the required premium contribution payments for dependent coverage.Note: When coverage ends, participating employers are responsible for reporting timely cancellations for employees and dependents in the bswift Enrollment Portal or in their Third-Party Enrollment Portal, including the reason for termination of coverage from the choices provided. Exceptions may be granted for extraordinary circumstances constituting %u201cgood cause.%u201d Exceptions are not a guarantee of coverage reinstatement, billing credit or enrollment. The definition of %u201cgood cause%u201d means that a person%u2019s failure to act was not because of a lack of diligence to reasonably take prompt and timely action. If an employee or Benefits Administrator submits an exception and it does not meet guidelines as noted on pages 38-39, the request will be denied.*Section 22.004 of the Texas Education Code reads, in part, as follows: k) Notwithstanding any other law, an employee of a participating employer in the uniform group coverage program under Subsection (a) or providing group health coverage under Subsection (b) whose resignation is effective after the last day of an instructional year is entitled to participate or be enrolled in the uniform group coverage plan or the group health coverage through the earlier of: (1) the first anniversary of the date participation in a coverage under the uniform group coverage plan or the group health coverage was made available to employees for the last instructional year in which the employee was employed by the employer; or (2) the last calendar day before the first day of the instructional year immediately following the last instructional year in which the employee was employed by the employer (l) If an employee%u2019s resignation is effective after the last day of an instructional year, the employer may not diminish or eliminate the amount of a contribution available to the employee under Chapter 1581, Insurance Code, before the last date on which the employee is entitled to participation or enrollment under Subsection (k).www.bcbstx.com/trsactivecareba 35

