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Termination of Benefits

Medical/vision and dental coverage for you and your family will terminate on the last day of the month in which you terminate your employment or are in an ineligible benefit status. 

If you become ineligible for coverage, you and your eligible dependents may have continuation rights for medical/vision, and Health Care Reimbursement Account benefits under the federal law known as COBRA.  If you terminate your employment or are in an ineligible benefit status, you will be notified about your continuation rights.

You will also receive a Certificate of Creditable Coverage according to the Health Insurance Portability and Accountability Act of 1996 (HIPAA).  This certificate outlines the period for which you were covered under a medical/vision plan with Henry Ford Health System.  This certificate may be used to satisfy pre-existing limitations in your new employer's plans.

Short term and long term disability coverage ends on the date of termination or the date you are no longer eligible.

Employee and dependent term life insurance and accidental death and dismemberment (AD&D) insurance terminate the last day of the month. Coverage can continue for the employee and dependent life insurance, AD&D insurance and long term disability insurance by converting to an individual policy. You cannot convert the short term disability insurance. You have 30 days from the date of termination to apply for conversion rights. Conversion forms are available from Employee Services, One Ford Place, 4E, (313) 874-7100.

If you are terminating employment or are no longer eligible for benefits and have a spouse who works at Henry Ford Health System and is eligible for benefits, within 30 days of the date of your termination, your spouse can complete an Enrollment Change Request Form (ECR). This form is available from Employee Services. Your spouse will have the opportunity to make changes to the following benefits:

Medical

Enroll or change option

Dental

Enroll in the identical plan your spouse elected as an active employee

Life

Increase or decrease coverage

AD&D

Increase or decrease coverage

LTD

Increase or decrease coverage

Health Care FSA

Enroll or increase

Day Care FSA

Enroll, increase or discontinue

COBRA
Leaving HFHS
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