Source: https://www.law.cornell.edu/uscode/text/29/1162?quicktabs_8=0
Timestamp: 2015-07-04 01:06:11
Document Index: 244114062

Matched Legal Cases: ['§ 1162', 'art 6', '§ 1162', '§ 1162', 'art 7', '§ 602', '§ 10002', '§ 9501', '§ 1895', '§ 6703', '§ 7862', '§ 1704', '§ 421', '§ 1899', '§ 116', '§ 243', '§ 401', '§ 1381', '§ 1395', '§ 7891', '§ 300', '§ 1899', '§ 1899', '§ 1899', '§ 1899', '§ 1899', '§ 421', '§ 421', 'art 7', '§ 421', '§ 6703', '§ 7871', '§ 7862', '§ 6703', '§ 7862', '§ 6703', '§ 7862', '§ 6703', '§ 6703', '§ 1895', '§ 1895', '§ 9501', '§ 9501', '§ 9501', '§ 1895', '§ 1895', '§ 9501', '§ 1895', '§ 6703']

29 U.S. Code § 1162 - Continuation coverage | LII / Legal Information Institute
U.S. Code › Title 29 › Chapter 18 › Subchapter I › Subtitle B › Part 6 › § 1162 29 U.S. Code § 1162 - Continuation coverage
For purposes of section 1161 of this title, the term “continuation coverage” means coverage under the plan which meets the following requirements:
Type of benefit coverage The coverage must consist of coverage which, as of the time the coverage is being provided, is identical to the coverage provided under the plan to similarly situated beneficiaries under the plan with respect to whom a qualifying event has not occurred. If coverage is modified under the plan for any group of similarly situated beneficiaries, such coverage shall also be modified in the same manner for all individuals who are qualified beneficiaries under the plan pursuant to this part in connection with such group.
In the case of a qualifying event described in section 1163
If a qualifying event (other than a qualifying event described in section 1163
(6) of this title) occurs during the 18 months after the date of a qualifying event described in section 1163
(2) of this title, the date which is 36 months after the date of the qualifying event described in section 1163
Special rule for certain bankruptcy proceedings
(6) of this title (relating to bankruptcy proceedings), the date of the death of the covered employee or qualified beneficiary (described in section 1167
(3)(C)(iii) of this title), or in the case of the surviving spouse or dependent children of the covered employee, 36 months after the date of the death of the covered employee.
In the case of a qualifying event not described in section 1163
(2) or 1163
(6) of this title, the date which is 36 months after the date of the qualifying event.
Special rule for PBGC recipients
(2) of this title with respect to a covered employee who (as of such qualifying event) has a nonforfeitable right to a benefit any portion of which is to be paid by the Pension Benefit Guaranty Corporation under subchapter III, notwithstanding clause (i) or (ii), the date of the death of the covered employee, or in the case of the surviving spouse or dependent children of the covered employee, 24 months after the date of the death of the covered employee. The preceding sentence shall not require any period of coverage to extend beyond January 1, 2014.
(2) of this title with respect to a covered employee who is (as of the date that the period of coverage would, but for this clause or clause (vii), otherwise terminate under clause (i) or (ii)) a TAA-eligible individual (as defined in section 1165
In the case of a qualified beneficiary who is determined, under title II or XVI of the Social Security Act [42 U.S.C. 401 et seq., 1381 et seq.], to have been disabled at any time during the first 60 days of continuation coverage under this part, any reference in clause (i) or (ii) to 18 months is deemed a reference to 29 months (with respect to all qualified beneficiaries), but only if the qualified beneficiary has provided notice of such determination under section 1166
of this title before the end of such 18 months.
covered under any other group health plan (as an employee or otherwise) which does not contain any exclusion or limitation with respect to any preexisting condition of such beneficiary (other than such an exclusion or limitation which does not apply to (or is satisfied by) such beneficiary by reason of chapter 100 of title 26, part 7 of this subtitle, or title XXVII of the Public Health Service Act [42 U.S.C. 300gg et seq.]), or
in the case of a qualified beneficiary other than a qualified beneficiary described in section 1167
(3)(C) of this title, entitled to benefits under title XVIII of the Social Security Act [42 U.S.C. 1395 et seq.].
Termination of extended coverage for disability In the case of a qualified beneficiary who is disabled at any time during the first 60 days of continuation coverage under this part, the month that begins more than 30 days after the date of the final determination under title II or XVI of the Social Security Act [42 U.S.C. 401 et seq., 1381 et seq.] that the qualified beneficiary is no longer disabled.
In no event may the plan require the payment of any premium before the day which is 45 days after the day on which the qualified beneficiary made the initial election for continuation coverage. In the case of an individual described in the last sentence of paragraph (2)(A), any reference in subparagraph (A) of this paragraph to “102 percent” is deemed a reference to “150 percent” for any month after the 18th month of continuation coverage described in clause (i) or (ii) of paragraph (2)(A).
(Pub. L. 93–406, title I, § 602, as added Pub. L. 99–272, title X, § 10002(a),Apr. 7, 1986, 100 Stat. 228; amended Pub. L. 99–509, title IX, § 9501(b)(1)(B), (2)(B),Oct. 21, 1986, 100 Stat. 2076, 2077; Pub. L. 99–514, title XVIII, § 1895(d)(1)(B), (2)(B), (3)(B), (4)(B),Oct. 22, 1986, 100 Stat. 2936–2938; Pub. L. 101–239, title VI, § 6703(a), (b), title VII, §§ 7862(c)(3)(B), (4)(A), (5)(B), 7871(c),Dec. 19, 1989, 103 Stat. 2296, 2432, 2433, 2435; Pub. L. 104–188, title I, § 1704(g)(1)(B),Aug. 20, 1996, 110 Stat. 1880; Pub. L. 104–191, title IV, § 421(b)(1),Aug. 21, 1996, 110 Stat. 2088; Pub. L. 111–5, div. B, title I, § 1899F(a),Feb. 17, 2009, 123 Stat. 428; Pub. L. 111–344, title I, § 116(a),Dec. 29, 2010, 124 Stat. 3615; Pub. L. 112–40, title II, § 243(a)(1), (2),Oct. 21, 2011, 125 Stat. 420.)
The Social Security Act, referred to in par. (2)(A)(vii), (viii), (D)(ii), (E), is act Aug. 14, 1935, ch. 531, 49 Stat. 620. Titles II, XVI, and XVIII of the Social Security Act are classified generally to subchapters II (§ 401 et seq.), XVI (§ 1381 et seq.), and XVIII (§ 1395 et seq.), respectively, of chapter 7 of Title 42, The Public Health and Welfare. For complete classification of this Act to the Code, see section 1305 of Title 42 and Tables.
Section 1166
(3) of this title, referred to in par. (2)(A)(viii), was redesignated as section 1166
(a)(3) of this title by Pub. L. 101–239, title VII, § 7891(d)(1)(A)(ii)(I),Dec. 19, 1989, 103 Stat. 2445.
The Public Health Service Act, referred to in par. (2)(D)(i), is act July 1, 1944, ch. 373, 58 Stat. 682. Title XXVII of the Act is classified generally to subchapter XXV (§ 300gg et seq.) of chapter 6A of Title 42, The Public Health and Welfare. For complete classification of this Act to the Code, see Short Title note set out under section 201 of Title 42 and Tables.
2011—Par. (2)(A)(v), (vi). Pub. L. 112–40substituted “January 1, 2014” for “February 12, 2011”.
2010—Par. (2)(A)(v), (vi). Pub. L. 111–344substituted “February 12, 2011” for “December 31, 2010”.
2009—Par. (2)(A)(v). Pub. L. 111–5, § 1899F(a)(3), added cl. (v). Former cl. (v) redesignated (vii).
Pub. L. 111–5, § 1899F(a)(1), transferred cl. (v) to appear after cl. (iv). See 1989 Amendment note below.
Par. (2)(A)(vi). Pub. L. 111–5, § 1899F(a)(3), added cl. (vi). Former cl. (vi) redesignated (viii).
Pub. L. 111–5, § 1899F(a)(2), designated concluding provisions as cl. (vi) and inserted heading.
Par. (2)(A)(vii), (viii). Pub. L. 111–5, § 1899F(a)(3), redesignated cls. (v) and (vi) as (vii) and (viii), respectively.
1996—Par. (2)(A). Pub. L. 104–191, § 421(b)(1)(A), in closing provisions, substituted “In the case of a qualified beneficiary” for “In the case of an individual” and “at any time during the first 60 days of continuation coverage under this part” for “at the time of a qualifying event described in section 1163
(2) of this title”, struck out “with respect to such event” after “(ii) to 18 months”, and inserted “(with respect to all qualified beneficiaries)” after “29 months”.
Par. (2)(A)(v). Pub. L. 104–188amended cl. (v) generally. Prior to amendment, cl. (v) read as follows:
“(v) Qualifying event involving medicare entitlement.—In the case of an event described in section 1163
Par. (2)(D)(i). Pub. L. 104–191, § 421(b)(1)(B), inserted “(other than such an exclusion or limitation which does not apply to (or is satisfied by) such beneficiary by reason of chapter 100 of title 26, part 7 of this subtitle, or title XXVII of the Public Health Service Act [42 U.S.C. 300gg et seq.])” before “, or” at end.
Par. (2)(E). Pub. L. 104–191, § 421(b)(1)(C), substituted “at any time during the first 60 days of continuation coverage under this part” for “at the time of a qualifying event described in section 1163
1989—Par. (2)(A). Pub. L. 101–239, § 6703(a)(1), inserted after and below cl. (iv) “In the case of an individual who is determined, under title II or XVI of the Social Security Act, to have been disabled at the time of a qualifying event described in section 1163
(2) of this title, any reference in clause (i) or (ii) to 18 months with respect to such event is deemed a reference to 29 months, but only if the qualified beneficiary has provided notice of such determination under section 1166
Par. (2)(A)(iii). Pub. L. 101–239, § 7871(c), substituted “described in section 1163
(6)” for “described in 1163(6)”.
Par. (2)(A)(v). Pub. L. 101–239, § 7862(c)(5)(B), added cl. (v) after concluding provisions inserted by Pub. L. 101–239, § 6703(a)(1). See above.
Par. (2)(D). Pub. L. 101–239, § 7862(c)(3)(B), substituted “entitlement” for “eligibility” in heading and inserted “which does not contain any exclusion or limitation with respect to any preexisting condition of such beneficiary” after “or otherwise)” in cl. (i).
Par. (2)(E). Pub. L. 101–239, § 6703(a)(2), added subpar. (E).
Par. (3). Pub. L. 101–239, § 7862(c)(4)(A), which directed substitution of “In no event may the plan require the payment of any premium before the day which is 45 days after the day on which the qualified beneficiary made the initial election for continuation coverage.” for last sentence of par. (3), was executed by making the substitution for the following sentence: “If an election is made after the qualifying event, the plan shall permit payment for continuation coverage during the period preceding the election to be made within 45 days of the date of the election.”, notwithstanding the sentence added at the end of par. (3) by Pub. L. 101–239, § 6703(b).
Pub. L. 101–239, § 6703(b), inserted at end “In the case of an individual described in the last sentence of paragraph (2)(A), any reference in subparagraph (A) of this paragraph to ‘102 percent’ is deemed a reference to ‘150 percent’ for any month after the 18th month of continuation coverage described in clause (i) or (ii) of paragraph (2)(A).”
1986—Par. (1). Pub. L. 99–514, § 1895(d)(1)(B), inserted “If coverage is modified under the plan for any group of similarly situated beneficiaries, such coverage shall also be modified in the same manner for all individuals who are qualified beneficiaries under the plan pursuant to this part in connection with such group.”
Par. (2)(A). Pub. L. 99–514, § 1895(d)(2)(B), amended subpar. (A) generally. Prior to amendment, subpar. (A) read as follows:
“(A) Maximum period.—In the case of—
“(i) a qualifying event described in section 1163
Par. (2)(A)(ii). Pub. L. 99–509, § 9501(b)(1)(B)(i), inserted “(other than a qualifying event described in section 1163
(6) of this title)”.
Par. (2)(A)(iii). Pub. L. 99–509, § 9501(b)(1)(B)(iv), added cl. (iii). Former cl. (iii) redesignated (iv).
Par. (2)(A)(iv). Pub. L. 99–509, § 9501(b)(1)(B)(ii), (iii), redesignated cl. (iii) as (iv) and inserted “or 1163(6)”.
Par. (2)(C). Pub. L. 99–514, § 1895(d)(3)(B), inserted “The payment of any premium (other than any payment referred to in the last sentence of paragraph (3)) shall be considered to be timely if made within 30 days after the date due or within such longer period as applies to or under the plan.”
Par. (2)(D). Pub. L. 99–514, § 1895(d)(4)(B)(ii), (iii), substituted “Group health plan coverage or medicare eligibility” for “Reemployment or medicare eligibility” as heading and substituted “covered under any other group health plan (as an employee or otherwise)” for “a covered employee under any other group health plan” in cl. (i).
Par. (2)(D)(ii). Pub. L. 99–509, § 9501(b)(2)(B), inserted “in the case of a qualified beneficiary other than a qualified beneficiary described in section 1167
(3)(C) of this title” before “entitled”.
Par. (2)(E). Pub. L. 99–514, § 1895(d)(4)(B)(i), struck out subpar. (E), remarriage of spouse, which read as follows: “In the case of an individual who is a qualified beneficiary by reason of being the spouse of a covered employee, the date on which the beneficiary remarries and becomes covered under a group health plan.”
Amendment by Pub. L. 104–191effective Jan. 1, 1997, regardless of whether qualifying event occurred before, on, or after such date, see section 421(d) ofPub. L. 104–191set out as a note under section 4980B of Title 26, Internal Revenue Code.
Pub. L. 101–239, title VI, § 6703(d),Dec. 19, 1989, 103 Stat. 2296, provided that: “The amendments made by this section [amending this section and section 1166 of this title] shall apply to plan years beginning on or after the date of the enactment of this Act [Dec. 19, 1989], regardless of whether the qualifying event occurred before, on, or after such date.”
Amendment by section 7862(c)(3)(B) ofPub. L. 101–239applicable to (i) qualifying events occurring after Dec. 31, 1989, and (ii) in the case of qualified beneficiaries who elected continuation coverage after Dec. 31, 1988, the period for which the required premium was paid (or was attempted to be paid but was rejected as such), see section 7862(c)(3)(D) ofPub. L. 101–239, set out as a note under section 162 of Title 26, Internal Revenue Code.
Amendment by section 7862(c)(4)(A) ofPub. L. 101–239applicable to plan years beginning after Dec. 31, 1989, see section 7862(c)(4)(C) ofPub. L. 101–239, set out as a note under section 4980B of Title 26.
Amendment by section 7862(c)(5)(B) ofPub. L. 101–239applicable to plan years beginning after Dec. 31, 1989, see section 7862(c)(5)(C) ofPub. L. 101–239, set out as a note under section 4980B of Title 26.
Amendment by Pub. L. 99–509effective, except as otherwise provided, as if included in title X of the Consolidated Omnibus Budget Reconciliation Act of 1985, Pub. L. 99–272, see section 9501(e) ofPub. L. 99–509, set out as a note under section 162 of Title 26.