Continuation of Coverage Property of Bind Benefits, Inc., d/b/a Surest. All rights reserved © 2026. 70 − The date of the qualifying event. − The date coverage would be lost because of the qualifying event. − The date on which the qualified beneficiary was informed of the responsibility to provide the notice and the procedures for doing so. In addition, the notice must be provided before the end of the first 18 months of continuation coverage. The notice must be provided in writing and be mailed to the Plan Administrator at the address identified below. Oral notice, including notice by telephone, is not acceptable. Electronic (including emailed or faxed) or hand-delivered notices are not acceptable. Your notice must be postmarked no later than the last day of the 60-day notice period described above. The notification must: − State the name of the Surest Plan. − State the name and address of the Employee or former employee who is or was covered under the Surest Plan. − State the name(s) and address(es) of all qualified beneficiaries who lost coverage due to the initial qualifying event and who are receiving COBRA coverage at the time of the notice. − Identify the nature and date of the initial qualifying event that entitled the qualified beneficiaries to COBRA coverage. − State the name of the disabled qualified beneficiary. − Identify the date upon which the Social Security Administration made its determination of disability. − Include a copy of the determination of the Social Security Administration. If the required notification is not received within the required time period, no extension of the continuation period will be provided. If the notification is incomplete, it will be deemed timely if the Plan is able to determine the Plan to which it applies, the identity of the Employee and the qualified beneficiaries, the qualifying event, and the date on which the qualifying event occurred, provided that the missing information is provided within 30 days. If the missing information is not provided within that time, the notification will be ineffective, and no extension of the continuation period will be provided. If such person has been determined under the Social Security Act to no longer be disabled, the person must notify the Plan Administrator of that determination with 30 days or the later of: − The date of the termination. − The date on which the qualified beneficiary was informed of the responsibility to provide the notice and the procedures for doing so. The notice must be in writing and be mailed to the Plan Administrator at the address identified below. Regardless of when the notification is provided, continuation coverage will terminate retroactively on the first day of the month that begins 30 days after the