Orange County NC Website
43 <br /> SECTION IX <br /> CONVERSION PRIVILEGE <br /> A Subscriber and/or Family Dependents are eligible to convert to <br /> Direct Payment Agreement Coverage, offering the same benefits as other <br /> Direct Payment contracts being offered by the Plan at that time. The <br /> Member must submit an Application Form within the required time and <br /> payment of the applicable quarterly or, at the Member's option, annual <br /> premium. Direct Payment Contract coverage levels, premiums, and <br /> administrative procedures vary from the Plan's Group Coverage. The <br /> Coverage will be issued without proof of insurability if the Application <br /> Form and premium due is mailed or delivered to the Plan's office within <br /> thirty (30) days of the date that the Member first becomes eligible to <br /> exercise the Conversion Privilege. The Conversion Privilege shall be <br /> available upon: <br /> A. The termination of a Family Dependent's eligibility by reason <br /> of <br /> 1. reaching the age limitation for such Coverage; <br /> 2. death of the Subscriber; <br /> 3. divorce or annulment of his or her marriage to the <br /> • <br /> Subscriber. <br /> 4. the end of the period of Continuation Coverage. <br /> • A Member will not be eligible to convert if terminated <br /> under conditions of Section VIII Items 8, 9, 10, 11, 12, 13, 14 and 15, <br /> unless COBRA requires that Continuation Coverage must be offered to the <br /> terminated member. <br /> 38 <br /> =mow <br />