2026 CODAC Benefit Summaries and Carrier Flyers

SECTION 11: COBRA

30 30 30 30 31 31 31 31 31 32 33 33 33 33 33 33 34 34 34 34 34 34 35 35 36 36 37 38 40 41

11.1 Introduction, Default Language and Use

11.2 Qualified Beneficiaries

11.3 Qualifying Events

11.4 Required Notice of Qualifying Event 11.5 Election of COBRA Coverage

11.6 Rights and Obligations of COBRA-Covered Qualified Beneficiaries

11.7 Cost of COBRA Coverage

11.8 Maximum Length of COBRA Coverage 11.9 Termination of COBRA Coverage

SECTION 12: QUALIFIED MEDICAL CHILD SUPPORT ORDERS (QMCSO)

SECTION 13: NOTICE INFORMATION

13.1 General Notices

SECTION 14: GENERAL COMPLIANCE AND OTHER INFORMATION

14.1 No Vesting

14.2 HIPAA Rules, Policies and Procedures

14.3 USERRA Leave 14.4 FMLA Leave

14.5 No Employment Rights 14.6 Fraud or Concealment 14.7 Compromise of Claims

14.8 References and Inconsistencies

14.9 Applicable Law

SECTION 15: STATEMENT OF ERISA RIGHTS SECTION 16: PLAN INTERPRETATION

SECTION 17: ADOPTION

PBM Data Sheet

Exhibit A - Schedule(s) of Benefits Exhibit B - Participating Employers Exhibit C - Addendums / Amendments

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CIDN:199534