42 U.S.C. § 300bb–3 — Qualifying event

submitted 82 years ago by Pub. L. 99-272 to r/title-42-THE-PUBLIC-HEALTH-AND-WELFARE · 124 words · no verdicts yet

in plain englishAI-generated · not legal advice

A qualifying event is something that would end a covered employee's or family member's health coverage. The list includes the employee's death, job loss or reduced hours, divorce, Medicare entitlement, or a dependent child aging out of coverage.

This section defines "qualifying event" as any of these five events involving a covered employee, that would otherwise cause a qualified beneficiary to lose coverage (if not for the continuation coverage this subchapter requires): (1) the covered employee's death; (2) the covered employee's job ending — unless it's due to the employee's own gross misconduct — or their hours being cut; (3) the covered employee's divorce or legal separation from their spouse; (4) the covered employee becoming entitled to Medicare benefits under title XVIII of the Social Security Act; or (5) a dependent child no longer counting as a dependent child under the plan's usual rules.

the actual law source: uscode.house.gov ↗public domain

For purposes of this subchapter, the term “qualifying event” means, with respect to any covered employee, any of the following events which, but for the continuation coverage required under this subchapter, would result in the loss of coverage of a qualified beneficiary:

(1)

The death of the covered employee.

(2)

The termination (other than by reason of such employee’s gross misconduct), or reduction of hours, of the covered employee’s employment.

(3)

The divorce or legal separation of the covered employee from the employee’s spouse.

(4)

The covered employee becoming entitled to benefits under title XVIII of the Social Security Act [42 U.S.C. 1395 et seq.].

(5)

A dependent child ceasing to be a dependent child under the generally applicable requirements of the plan.

Source credit: (July 1, 1944, ch. 373, title XXII, § 2203, as added Pub. L. 99–272, title X, § 10003(a), Apr. 7, 1986, 100 Stat. 234.)

history & why it existsrecord from the source credit

1944Enacted · Pub. L. 99-272 · 100 Stat. 234

A history note hasn’t been published yet. The record shows enactment by Pub. L. 99-272 on 1944-07-01.

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