Source: https://www.law.cornell.edu/cfr/text/29/2590.606-4
Timestamp: 2017-08-20 08:13:57
Document Index: 130384492

Matched Legal Cases: ['art 2590', '§ 2590', 'art 6', '§ 2590', '§ 2590', '§ 2590', '§ 2590', 'art 6', '§ 2520', '§ 1161', '§ 1162', '§ 1163', '§ 1164', '§ 1165', '§ 1166', '§ 1167', '§ 1168', '§ 1169', '§ 1181', '§ 651']

29 CFR 2590.606-4 - Notice requirements for plan administrators. | US Law | LII / Legal Information Institute
CFR › Title 29 › Subtitle B › Chapter XXV › Subchapter L › Part 2590 › Subpart A › Section 2590.606-4
§ 2590.606-4 Notice requirements for plan administrators.
(a)General. Pursuant to section 606(a)(4) of the Employee Retirement Income Security Act of 1974, as amended (the Act), the administrator of a group health plan subject to the continuation coverage requirements of Part 6 of title I of the Act shall provide, in accordance with this section, notice to each qualified beneficiary of the qualified beneficiary's rights to continuation coverage under the plan.
(b)Notice of right to elect continuation coverage.
(1) Except as provided in paragraph (b) (2) or (3) of this section, upon receipt of a notice of qualifying event furnished in accordance with § 2590.606-2 or § 2590.606-3, the administrator shall furnish to each qualified beneficiary, not later than 14 days after receipt of the notice of qualifying event, a notice meeting the requirements of paragraph (b)(4) of this section.
(2) In the case of a plan with respect to which an employer of a covered employee is also the administrator of the plan, except as provided in paragraph (b)(3) of this section, if the employer is otherwise required to furnish a notice of a qualifying event to an administrator pursuant to § 2590.606-2, the administrator shall furnish to each qualified beneficiary a notice meeting the requirements of paragraph (b)(4) of this section not later than 44 days after:
(ix) A description of the circumstances (if any) under which the maximum period of continuation coverage may be extended due either to the occurrence of a second qualifying event or a determination by the Social Security Administration, under title II or XVI of the Social Security Act ( 42 U.S.C. 401et seq. or 1381 et seq.) (SSA), that the qualified beneficiary is disabled, and the length of any such extension;
(c)Notice of unavailability of continuation coverage.
(1) In the event that an administrator receives a notice furnished in accordance with § 2590.606-3 relating to a qualifying event, second qualifying event, or determination of disability by the Social Security Administration regarding a covered employee, qualified beneficiary, or other individual and determines that the individual is not entitled to continuation coverage under part 6 of title I of the Act, the administrator shall provide to such individual an explanation as to why the individual is not entitled to continuation coverage.
(d)Notice of termination of continuation coverage.
(1) The administrator of a plan that is providing continuation coverage to one or more qualified beneficiaries with respect to a qualifying event shall provide, in accordance with this paragraph (d), notice to each such qualified beneficiary of any termination of continuation coverage that takes effect earlier than the end of the maximum period of continuation coverage applicable to such qualifying event.
(e)Special notice rules. The notices required by paragraphs (b), (c), and (d) of this section shall be furnished to each qualified beneficiary or individual, except that:
(f)Delivery of notice. The notices required by this section shall be furnished in any manner consistent with the requirements of § 2520.104b-1 of this chapter, including paragraph (c) of that section relating to the use of electronic media.
(g)Model notice. The appendix to this section contains a model notice that is intended to assist administrators in discharging the notice obligations of paragraph (b) of this section. Use of the model notice is not mandatory. The model notice reflects the requirements of this section as they would apply to single-employer group health plans and must be modified if used to provide notice with respect to other types of group health plans, such as multiemployer plans or plans established and maintained by employee organizations for their members. In order to use the model notice, administrators must appropriately add relevant information where indicated in the model notice, select among alternative language and supplement the model notice to reflect applicable plan provisions. Items of information that are not applicable to a particular plan may be deleted. Use of the model notice, appropriately modified and supplemented, will be deemed to satisfy the notice content requirements of paragraph (b)(4) of this section.
(h)Applicability. This section shall apply to any notice obligation described in this section that arises on or after the first day of the first plan year beginning on or after November 26, 2004.
[ 69 FR 30097, May 26, 2004; 69 FR 34921, June 23, 2004]
§ 1161 - Plans must provide continuation coverage to certain individuals
§ 1162 - Continuation coverage
§ 1163 - Qualifying event
§ 1164 - Applicable premium
§ 1165 - Election
§ 1166 - Notice requirements
§ 1167 - Definitions and special rules
§ 1168 - Regulations
§ 1169 - Additional standards for group health plans
§ 1181 note - Increased portability through limitation on preexisting condition exclusions
§ 651 note - Authorization of appropriations
122 Stat. 3881
124 Stat. 1029
29 CFR 2590.606-1 — General Notice of Continuation Coverage.