spacer
Benefits and Retirement Home
spacer
Your King County Benefits Home
spacer
Your King County Benefits
For Regular Employees
 
Benefits at a Glance What Happens If...
spacer
spacer
spacer

Questions About This Web Page?
kc.benefits@metrokc.gov
206-684-1556
spacer
You are in:  Health Care > Participating in the Health Care Plans > When Coverage Ends  
Print this Page Print a Section

When Coverage Ends
Coverage under the health care plans ends under certain circumstances.
EXTENSION OF COVERAGE
If you or your covered dependent is hospitalized when your medical coverage terminates, your coverage under KingCareSM or Group Health continues until discharge. Coverage ends on the date of discharge or when you or your covered dependent reaches the plan maximum, whichever comes first.
The Group Health extension of coverage also ends when:
  • it is no longer medically necessary to be an inpatient;
  • you or your dependent becomes covered under another group plan that provides benefits for the hospitalization;
  • another carrier would provide benefits for the hospitalization if this coverage didn't exist; or
  • you or your dependent becomes eligible for Medicare.
If you or your dependent is covered under KingCareSM while totally disabled and coverage ends for any reason other than plan termination, KingCareSM coverage for only the disabling condition may be extended for 12 months at no cost to you. The disabled person may choose either this extension of medical coverage or COBRA coverage. However, electing the extension means forfeiting the right to elect COBRA coverage and convert to an individual policy. Other dependents may be able to elect coverage through COBRA. (For more information, see "Continuing Coverage Under COBRA.")
When you or a covered dependent is no longer eligible for county benefits, Washington Dental Service (WDS) will cover only those expenses for single procedures begun before your loss of coverage and completed within three weeks of your last day of coverage.
When you or a covered dependent is no longer eligible for county benefits, Vision Service Plan (VSP) will cover only those expenses for services authorized by VSP in a benefit authorization to a VSP provider before your loss of coverage and completed before the expiration date of the benefit authorization.

                                                     
To top
spacer
spacer Updated: August 1, 2007