Noblesville Schools Medical Plan 72 Section 4: When Coverage Ends Section 4: When Coverage Ends General Information about When Coverage Ends As permitted by law, the Plan Sponsor may end the Plan and/or all similar benefit plans at any time for the reasons explained in the Plan. Your right to Benefits automatically ends on the date that coverage ends, even if you are hospitalized or are otherwise receiving medical treatment on that date. When your coverage ends, the Claims Administrator will still process Plan payments on claims for Covered Health Care Services that you received before the date your coverage ended. However, once your coverage ends, the Claims Administrator will not process Plan payments on claims for any health care services received after that date (even if the medical condition that is being treated occurred before the date your coverage ended). Unless otherwise stated, an Enrolled Dependent's coverage ends on the date the Participant's coverage ends. What Events End Your Coverage? Coverage ends on the earliest of the dates specified below: • The Entire Plan Ends Your coverage ends on the date the Plan ends. In this event, the Plan Sponsor is responsible for notifying you that your coverage has ended. • You Are No Longer Eligible Your coverage ends on the last day of the calendar month in which you are no longer eligible to be a Participant or Enrolled Dependent. Coverage for your Enrolled Dependent Spouse ends on the last day of the month your Enrolled Dependent Spouse no longer qualifies as a Dependent under this Plan. Coverage for your Enrolled Dependent child ends on the last day of the year your Enrolled Dependent child no longer qualifies as a Dependent under this Plan. Please refer to Section 9: Defined Terms for definitions of the terms "Eligible Person," "Participant," "Dependent" and "Enrolled Dependent." • The Claims Administrator Receives Notice to End Coverage The Plan Sponsor is responsible for providing the required notice to the Claims Administrator to end your coverage. Your coverage ends on the last day of the calendar month in which the Claims Administrator receives the required notice from the Plan Sponsor to end your coverage, or on the date requested in the notice, if later. • Participant Retires or Is Pensioned The Plan Sponsor is responsible for providing the required notice to the Claims Administrator to end your coverage. Your coverage ends the last day of the calendar month in which the Participant is retired or receiving benefits under the Plan Sponsor's pension or retirement plan. This provision applies unless there is specific coverage classification for retired or pensioned persons in the Plan, and only if the Participant continues to meet any applicable eligibility requirements. The Plan Sponsor can provide you with specific information about what coverage is available for retirees.