2026 CODAC Benefit Summaries and Carrier Flyers

TERMINATION

For information about continuing coverage, refer to the COBRA Continuation of Coverage section of this SPD.

EMPLOYEE’S COVERAGE

Your coverage under this Plan will end on the earliest of:

• The end of the period for which Your last contribution is made if You fail to make any required contribution toward the cost of coverage when due; or

The date this Plan is canceled; or

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The date coverage for Your benefit class is canceled; or

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• The last day of the month in which You tell the Plan to cancel Your coverage if You are voluntarily canceling it while remaining eligible because of a change in status, because of special enrollment or at annual open enrollment periods; or

• The end of the stability period as defined by the Affordable Care Act (ACA) in which You became a member of a non-covered class, as determined by the employer except as follows:

➢ If You are temporarily absent from work due to an approved leave of absence for medical or other reasons, Your coverage under this Plan will continue during that leave for up to six months, provided the applicable Employee contribution is paid when due. ➢ If You are temporarily absent from work due to active military duty, refer to USERRA under the Uniformed Services Employment and Reemployment Rights Act of 1994 section; or

• The last day of the month in which Your employment ends; or

• The date You submit a false claim or are involved in any other fraudulent act related to this Plan or any other group plan.

YOUR DEPENDENT'S COVERAGE

Coverage for Your Dependent will end on the earliest of the following:

• The end of the period for which Your last contribution is made if You fail to make any required contribution toward the cost of Your Dependent's coverage when due; or

The day of the month in which Your coverage ends; or

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• The last day of the month in which Your Dependent is no longer Your legal spouse due to legal separation or divorce, as determined by the law of the state in which You reside; or

• The last day of the month in which Your Dependent no longer qualifies as a Domestic Partner; or

• The last day of the month in which Your Dependent Child attains the limiting age listed under the Eligibility and Enrollment section; or

• If Your Dependent Child qualifies for extended Dependent coverage because he or she is Totally Disabled, the last day of the month in which Your Dependent Child is no longer deemed Totally Disabled under the terms of the Plan; or

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