95 Updating Coverage and/or Removing Dependents You are required to notify the Employer of any changes that affect your eligibility or the eligibility of your Dependents for this Plan. When any of the following occurs, contact the Employer and complete the appropriate forms: • Changes in address; • Marriage or divorce; • Death of an enrolled family member (a different type of coverage may be necessary); • Enrollment in another health plan or in Medicare; • Eligibility for Medicare; • Dependent child reaching the Dependent Age Limit (see “Termination and Continuation of Coverage”); • Enrolled Dependent child either becomes totally or permanently disabled, or is no longer disabled. Failure to notify the Employer of individuals no longer eligible for services will not obligate the Plan to cover such services, even if Fees are received for those individuals. All notifications must be in writing and on approved forms. Nondiscrimination No person who is eligible to enroll will be refused enrollment based on health status, health care needs, genetic information, previous medical information, disability, sexual orientation or identity, gender, or age. Statements and Forms All Members must complete and submit applications or other forms or statements that the Employer may reasonably request. Any rights to benefits under this Plan are subject to the condition that all such information is true, correct, and complete. Any material misrepresentation by you may result in termination of coverage as provided in the "Termination and Continuation of Coverage" section. The Plan will not use a statement made by you to void your coverage after that coverage has been in effect for two years. This does not apply, however, to fraudulent misstatements.

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