Page 51 - Demo

The use of a Notice of Unavailability by the employer may be appropriate in situations including, but not necessarily limited to, the following:%u2022 failure to notify the employer or COBRA administrator within 60 days of the qualifying event%u2022 coverage was canceled due to non-payment of premium%u2022 voluntary termination of coverage by the employee%u2022 termination of employment due to gross misconductTRS recommends that participating employers obtain their own legal counsel regarding their responsibilities under COBRA and any other applicable state or federal law.What happens if an employee terminates within two months before the employer begins participating in TRS-ActiveCare?Terminated employees who are in their 60-day election period for COBRA continuation coverage on the date the employer begins participation in TRS-ActiveCare must receive a COBRA packet from the employer%u2019s current COBRA administrator and one from bswift for TRS-ActiveCare. The employer%u2019s BA should report the employee%u2019s termination to both administrators. The individual then has two options:1. For continuous coverage, the individual must elect COBRA continuation coverage under the current plan, pay the premium due and then elect TRS-ActiveCare as of the effective date of the employer%u2019s participation in TRS-ActiveCare; or2. The individual may choose only to elect TRS-ActiveCare as of the date the employer begins participation in TRS-ActiveCare. If the employee chooses this option, the individual will not have coverage from the date coverage ended under the current plan until coverage begins under TRS-ActiveCare.How will COBRA participants enroll in TRS-ActiveCare for Annual Enrollment?COBRA participants will receive an enrollment kit in July or August. The kit will include a cover letter with rates (total TRS cost, excluding supplemental state contributions, plus 2%), an enrollment guide and COBRA enrollment application. The COBRA participants will have a choice of selecting TRS-ActiveCare Primary, TRS-ActiveCare HD, TRS-ActiveCare Primary+, TRSActiveCare 2 or an HMO option, if available.BAs should not receive COBRA applications. If you receive a COBRA application in error, please forward it immediately to the appropriate COBRA administrator as listed on page 46.www.bcbstx.com/trsactivecareba 51