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When Coverage Ends
Coverage under any JPMorgan Chase Medical Plan option will end on the last day of the month in which:
  • You cancel coverage due to a qualified change in status;
  • You stop making required contributions;
  • Your employment with JPMorgan Chase is terminated for any reason (unless you are receiving severance benefits under the Severance Pay Plan);
  • You no longer meet the eligibility requirements of the Medical Plan;
  • The Medical Plan is discontinued;
  • Your long-term disability benefits under the Long-Term Disability Plan end; or
  • You die.
Coverage for your dependents also ends when they no longer meet the eligibility requirements described in "Your Eligible Dependents." For your spouse, this means the end of the month in which you die (unless you are eligible for retiree medical coverage) or divorce. For a dependent child, this means the end of the month in which he or she:
  • Turns age 19, or age 21 if they are not eligible for benefits through their own employer, or age 23 if they are a "full-time student" (except if you are enrolled in an HMO/Medicare Option in a state that mandates coverage to a later date. Please see "Your Eligible Dependents" for more information.);
  • Marries;
  • Is no longer dependent on you for support; or
  • Is no longer eligible for coverage under a Qualified Medical Child Support Order (QMCSO).
Coverage for a domestic partner ends at the end of the month in which the domestic partner ceases to meet the eligibility requirements described in "Your Eligible Dependents."
Please see "If Your Situation Changes" for details on how coverage is affected in certain situations.
Continuing Coverage under COBRA
Under the Consolidated Omnibus Budget Reconciliation Act of 1985 as amended (COBRA), you and your covered dependents have the right to continue medical coverage at your own expense (102% of the full cost) for a certain period of time if your JPMorgan Chase-provided coverage ends. (For domestic partners, JPMorgan Chase may provide COBRA-like coverage if the domestic partner was covered under the JPMorgan Chase Medical Plan at the time that coverage ended.) Please see the "Plan Administration" section of this Guide for more information on COBRA.
Certificate of Creditable Coverage
Under the Health Insurance Portability and Accountability Act of 1996 (HIPAA), JPMorgan Chase is required to provide you with a Certificate of Creditable Coverage if your JPMorgan Chase-provided coverage ends. For more information, please see "Certificate of Creditable Coverage" in the "Plan Administration" section of this Guide.
Prescription Drug Notice of Creditable Coverage
JPMorgan Chase will send a Notice of Creditable Coverage to participants who become eligible for Medicare. This notice states that the JPMorgan Chase Medical Plan options provide prescription drug benefits that are, on average, at least as good as the standard Medicare prescription drug plan benefits. The notice is important because it can help you avoid late enrollment penalties associated with Medicare prescription drug plans that may apply given that JPMorgan Chase benefits-eligible employees would generally wait until retirement to enroll in Medicare Part B and Part D.
If you have a dependent who is eligible for Medicare benefits and you do not receive a Notice of Creditable Coverage, you can contact the Benefits Call Center to request one.
Converting to an Individual Policy
By converting your medical coverage to an individual policy, you and/or your dependents purchase an individual policy directly from the claims administrator. If the plan you are enrolled in is a fully-insured HMO option, you may be able to convert to an individual policy. Conversion is not available under the other plan options. See the "Plan Administration" section of this Guide to determine whether your plan is fully insured.
You and your eligible dependents may convert medical coverage to an individual policy either:
  • Within 31 days of termination of employment, in lieu of choosing COBRA continuation coverage; or
  • Within 31 days of the termination of COBRA continuation coverage.
You may not convert to an individual policy if COBRA coverage ends because other group coverage is obtained or if coverage is terminated because of nonpayment of COBRA contributions.
Contact your option's claims administrator for more information about converting your coverage and the rates for an individual policy. Please see "Claims Administrators' Contact Information" for more information.