Alaska Teamster-Employer Welfare and Pension Trusts

1.7 TERMINATION OF ACTIVE ELIGIBILITY FOR EMPLOYEES

Eligibility of Employees and their Dependents will terminate on the earliest of any of the following dates, and may be continued if permitted under COBRA:

1. For Employees and their Dependents, the date that the Employee’s Dollars Bank contributions and any self-payments are not sufficient to continue coverage;
2. The date the Employee or Dependent enters full-time service (more than 31 days) in the Uniformed Services of the United States, except as provided under the section of this Booklet entitled Continued Coverage While in Uniformed Service;
3. The date the Employee or Dependent enters the military service of any country other than the United States;
4. For all Participants, the date the Plan terminates.
5. For an Employee, as of the first day of the calendar year for which the Employee submits a waiver of coverage for himself or herself for that calendar year, in such form as approved by the Plan, and only to the extent that the form is duly signed by such Employee and no claims for such Employee have been submitted to the Plan for such calendar year. Once submitted and approved, such waiver of coverage shall be irrevocable for the calendar year involved, and shall automatically expire at the end of that calendar year.
6. For the Spouse of an Employee, as of the first day of the calendar year for which the Employee or Spouse submits a waiver of coverage for himself or herself for that calendar year, in such form as approved by the Plan, and only to the extent that the form is duly signed by such Spouse and no claims for such Spouse have been submitted to the Plan for such calendar year. Once submitted and approved, such waiver of coverage shall be irrevocable for the calendar year involved, and shall automatically expire at the end of that calendar year.