Participating in a Medical Plan

Coverage for your Dependents ends on the last day of the month in which:

Your coverage ends.

Your covered child reaches age 23.

Your covered child marries.

Your double or family coverage ends.

You and your spouse are divorced or legally separated, or your domestic partnership ends.

In the case of your death, your Dependent’s coverage would otherwise end (e.g., child reaches age 23, child marries).

In addition, coverage for your Dependents also ends on the:

Last day for which required contributions were paid.

Day of your Dependent’s death.

When your coverage ends, you and/or your covered Dependents may be eligible to continue coverage for a limited time under COBRA.

While this Summary Plan Description summarizes the major provisions of this plan, it does not provide you with every plan detail. The plan documents, which govern this plan, provide full details. If there are any discrepancies between this Summary Plan Description and the legal plan documents, the legal plan documents control.