Part 11 – Group Policy (continued) WORDS IN ITALICS ARE EXPLAINED IN PART 2. Page 100  You Commit Acts of Physical or Verbal Abuse. Your coverage in this health plan will be canceled if you commit acts of physical or verbal abuse that pose a threat to, or a threat to the health of, health care providers or other members or employees of Blue Cross Blue Shield HMO Blue or Blue Cross and Blue Shield of Massachusetts, Inc., and these acts are not related to your physical condition or mental condition. In this case, this termination will follow the procedures that have been approved by the Massachusetts Commissioner of Insurance.  You Fail to Comply with Plan Provisions. Your coverage in this health plan will be canceled if you fail to comply in a material way with any provision of the group contract. For example, if you fail to provide information that Blue Cross Blue Shield HMO Blue requests related to your coverage in this health plan, Blue Cross Blue Shield HMO Blue may terminate your coverage.  This Health Plan Is Discontinued. Your coverage in this health plan will be canceled if Blue Cross Blue Shield HMO Blue discontinues this health plan. Blue Cross Blue Shield HMO Blue may discontinue this health plan for any reason as of a date approved by the Massachusetts Commissioner of Insurance. Continuation of Group Coverage Family and Medical Leave Act An employee may continue coverage in this health plan under a group contract as provided by the Family and Medical Leave Act. The Family and Medical Leave Act will generally apply to you if your group has 50 or more employees. For more information, contact your plan sponsor. If the employee chooses to continue group coverage during a qualifying leave, the employee will be given the same health care benefits that would have been provided if the employee were working, with the same premium contribution ratio. If the employee’s premium for continued coverage under the group contract is more than 30 days late, the plan sponsor will send written notice to the employee. It will tell the employee that their coverage will be terminated. It will also give the date of the termination if payment is not received by that date. This notice will be mailed at least 15 days before the termination date. If coverage in this health plan under the group contract is discontinued due to non-payment of premium, the employee’s coverage will be restored when they return to work to the same level of benefits as those the employee would have had if the leave had not been taken and the premium payment(s) had not been missed. This includes coverage for eligible dependents. The employee will not be required to meet any qualification requirements imposed by Blue Cross Blue Shield HMO Blue when they return to work. This includes: new or additional waiting periods; waiting for an open enrollment period; or passing a medical exam to reinstate coverage. You should contact your plan sponsor with any questions that you may have about your coverage during a leave of absence. Limited Extension of Group Coverage under State Law If you lose eligibility for coverage in this health plan under a group contract due to a plant closing or a partial plant closing (as defined by law) in Massachusetts, you may continue coverage under the group contract as provided by state law. If this happens to you, you and your group will each pay your shares of the premium cost for up to 90 days after the plant closing. Then, to continue your group coverage for up to 39 more weeks, you will pay 100% of the premium cost. At this same time, you may also be eligible for continued group coverage under other state laws or under federal law (see below). If you are, the starting date for continued group coverage under all of these laws will be the same date. But, after the 90- day extension period provided by this state law ends, you may have to pay more premium to continue your coverage under the group contract. If you become eligible for coverage under another employer