Termination for Group Term Life, Dependent Group Term Life, Supplemental Group Term Life and Personal Accident Insurance:
- The Insureds coverage terminates on the earliest of: the date the Policy terminates; the date the Insured ceases to pay premiums; the date the Insured enters active military service; the date the Insured is no longer employed by an eligible Employer (however, if the insured continues to be actively at work with another branch of the Federal Government, the Insured may make arrangements for continued payments of premiums); the day your employment status with the Federal Government ends; or the first anniversary of the date that you went on non-pay status on an approved leave. These provisions will not apply to you if, on the day your coverage would have terminated, you are still on a Federal Government payroll in some type of retiree status or are on a leave that is covered by Workers' Compensation; in that case, you may become covered under the SAMBA retiree benefits.
- The Dependents coverage under the Policy will terminate on the earliest of: the date the Insureds coverage terminates; the date for which required premiums were not paid; the date the Dependent enters active military service; the first day of the month following the date Dependents as a class are no longer eligible; the premium due date following the date the Dependent no longer meets the definition of Dependent; 12 months following the date premiums were first waived (if applicable); or the date on which the Limiting Age, if any, is attained, for life coverage only.
Termination Disability Income Protection Program
- Your coverage under this Program will terminate on the earliest of any of the following: 1) the date the Program terminates; 2) the date you cease to make the required premiums; 3) the date you enter active military service of any country. For purposes of this coverage, active military service for training purposes of one month or less is not full-time service; 4) the date you are no longer employed by an eligible Employer. However, if you continue to be Actively at Work with another agency or branch of the Federal Government, coverage may continue during such Active Work provided that within 60 days of termination of employment by the eligible Employer, you make arrangements for continued payment of premiums either by direct bill to the Program or by a new allotment form; 5) the date on which you are no longer Actively at Work. However, coverage may be continued for a period not to exceed 90 days during an Employer-approved period of leave, with or without pay. Note: If you are terminated due to a period of leave (with or without pay) in excess of 90 days, and you return to Active Employment within 6 months of the date your leave began, you will not be required to submit new Evidence of Insurability provided that you apply for coverage within 30 days of your return to Active Employment; or 6) The next premium due date following the date you request cancellation of coverage. You must make this request to Us in writing. No portion of premiums already paid before the cancellation date that We approve will be refunded.
- A Dependent's coverage under this Program will terminate on the earliest of any of the following: 1) the date your coverage terminates; 2) the date the Dependent enters active military service of any country. For purposes of this coverage, active military service for training purposes of one month or less is not full-time service; 3) the first day of the month following the date Dependents as a class are no longer eligible for Program coverage; 4) the date the Dependent no longer meets the definition of Dependent; or 5) if the premiums are being waived, 12 months following the date premiums were first waived.
Termination for the Dependent Children Health Plan
- The Dependent Children Health Benefit Plan (DHBP) eligibility will terminate thirty-one (31) days (31-day grace period) after the earliest of the following events; 1) the date the dependent child reaches age 27: 2) the date the dependent child is married: 3) the date the dependent child no longer is wholly dependent upon you (the member) for support and maintenance: 4) the date on which the members SAMBA Health Benefit Plan coverage terminates. Eligibility will also terminate on the date you select to voluntarily cancel coverage or the last date on which the Plan premium was paid.
*Note: The 31-day grace period is not provided when termination is due to voluntary cancellation or non-payment of Plan premium.
Termination for the Dental and Vision Care Program
- You may voluntarily terminate enrollment in the Program at any time. Active members are to submit a SAMBA Allotment Form 299 to cancel the payroll allotment. Members that pay on a quarterly basis are to submit the termination request in writing to SAMBA. Coverage termination for quarterly members will be effective the first day of the month immediately following the receipt of the written request if the request is received before the 15th of the month. Requests received after the 15th of the month will be effective the first of the subsequent month.
- Your coverage will terminate under this Program on the earliest of any of the following events: 1) the first day of the next pay period following the date you voluntarily terminate coverage; 2) the date the Program terminates; 3) the date you cease to make the required premiums; 4) the date you enter active military service for any country. For purposes of this coverage, active military service for training purposes of one month or less is not full-time service; 5) you are furloughed because of a reduction in force; or 6) your employment status changes so that you are excluded from coverage.
- Your dependent's coverage will terminate under this Program on the earliest of any of the following events: 1) the date your coverage terminates; 2) the date your dependent enters active millitary service for any country. For purposes of this coverage, active military service for training purposes of one month or less is not full-time service; or 3) the first day of the month following the date the dependent is no longer eligible for Program coverage.
Note: Your coverage will continue for 31 days after your enrollment ends for any reason except if you voluntarily cancel.
If Program enrollment is terminated for any reason, you must wait two years from the date of termination before you are eligible to re-enroll.
Termination for Legal Services Plan
- You may voluntarily terminate your enrollment in the Legal Services Plan at any time. Active members should submit a SAMBA Enrollment/Allotment Form 299 for the SAMBA LegalRx Plan to cancel the payroll allotment.
Members paying quarterly, send your written request to the SAMBA office. Your coverage will terminate effective the 1st day of the following month.
- Otherwise, your enrollment will terminate on the last day of the pay period that:
- You are furloughed because of a reduction in force; or
- Your employment status changes so that you are excluded from coverage.
- Your enrollment also will terminate:
- On the date you enter a leave without pay status unless you submit your premium payment for the Legal Services Plan to the SAMBA office.
- On the day you are separated, furloughed, or placed on leave of absence for the purpose of performing military service for a period not limited to 30 days or less.
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