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What is the coverage continuation benefit?

The Coverage Continuation Rider/Benefit guarantees that the death benefit will remain in force even if the base policys cash value is depleted, provided that sufficient premiums have been paid, as shown on the policy specifications page.

What is benefit continuation?

Benefit Continuation means, at the Companys expense, the continued participation for Eligible Executive and Eligible Executives dependents in the Companys medical and dental benefit coverage at the Eligible Executives same level and rate for such benefits immediately prior to the Eligible Executives Qualifying

What is the meaning of continued benefits?

Continued Benefits means continued coverage for Employee (and Employees qualified beneficiaries), at no cost to Employee, under any medical plan or policy in which Employee was participating as of the time of Employees termination of employment (as may be amended by Employer from time to time in the ordinary course)

What is insurance continuation benefit?

Continuation coverage allows someone who recently lost their employer-based health coverage to continue their current insurance policy as long as they pay the full monthly premiums. Continuation coverage falls into four categories: COBRA, Cal-COBRA, Conversion, and HIPAA.

What is the difference between COBRA and continuation of coverage?

COBRA generally requires that group health plans sponsored by employers with 20 or more employees in the prior year offer employees and their families the opportunity for a temporary extension of health coverage (called continuation coverage) in certain instances where coverage under the plan would otherwise end.

How do I dispute a claim with Aetna?

To help us resolve the dispute, well need: A completed copy of the appropriate form. The reasons why you disagree with our decision. A copy of the denial letter or Explanation of Benefits letter. The original claim. Documents that support your position (for example, medical records and office notes)

What is the explanation of benefits from Aetna?

This statement is called your EOB. It shows how much you may owe, the amount that was billed, and your member rate. It also shows the amount you saved and what your plan paid. Look at this statement carefully and make sure it is correct.

What happens when Aetna denies a claim?

lf we deny a claim and you do not agree, you can ask for a review. This is called an appeal. There are two ways to do this: Call Member Services at the phone number on your member ID card.

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