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| Health Care Benefits if Laid Off |
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| Davis Vision Providers |
| RETIREE UPDATE |
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What happens to my Health Care benefits if I am laid off?
When Coverage Stops
Hospital, Surgical, Medical, Dental, Vision and Hearing (HSMDVH) coverage remanins in effect until the end of the month following the month in which your layoff begins. HSMDVH coverage continues on the basis of your years of seniority as of the date your layoff begins in accordance with the following table:
Years of Seniority on Date Layoff Begins Maximum Number of Months for Which Corporation Provided Coverage is Continued
| Less than 1 | 0 |
| 1 but less than 2 | 3 |
| 2 but less than 3 | 5 |
| 3 but less than 4 |
7 |
| 4 but less than 5 | 9 |
| 5 but less than 10 |
12 |
| 10 and over |
24 |
After the last month for which the company provides coverage, you may continue HSMDVH coverage for a period of 12 additional months by paying the required monthly premium amount for such coverage.
Cash-Pay Administrator
The cash-pay administator is Benefit Express regardless of the health care plan in which you are enrolled. You must contact Benefit Express at 888-456-7800 within thirty (30) days prior to your coverage termination if you wish to continue coverage.
Dental Coverage
Dental coverage remains in effect until the end of the following the calendar month following the month in which your layoff begins. Thereafter, dental coverage may not be continued.
Optional Dependant Group Life (OGL & DGL) Insurance
When Coverage Stops
If you are laid off, your insurance coverage will continue through the end of the month covered by your payroll deduction. Thereafter, you may continue your optional group life insurance by paying the required premiums to Benefit Express. The insurance may be continued for a period (not to exceed 24 months) equal to that for which you may be covered for company-provided coverage under the Life and Disability Program, and thereafter for an additional 12 months.
Continuation of Coverage
You will receive notification from Benefit Express instructing you to contact them if you wish to continue coverage through monthly direct billing. Contact Benefit Express at 1-888-456-7800 for additional information.
OGL/DGL Conversion to an Individual Policy
Within thirty-one (31) days after group coverage terminates, you may convert such coverage, without medical examination, to an individual policy by contacting MetLife at 1-888-892-5472.
If you have any further questions feel free to call your UAW Benefits Representatives.
Charrise Herron-Staten- (815) 547-2468
David Ingram- (815) 547-2118
Valerie Hanserd- (815) 547-2460


