Who is a qualified beneficiary?
• Ans: Generally, a qualified beneficiary is any individual who, on the day before a qualifying event, is covered under a group health plan maintained by the employer of a covered employee by virtue of being: (1) the covered employee, (2) the spouse of the covered employee, or (3) the dependent child of the covered employee. Exceptions include Medicare eligible individuals and certain nonresident aliens.
Under the statute, a qualified beneficiary is someone who “is a beneficiary under the plan” (i.e., is covered under the plan) immediately prior to the qualifying event and who is: • The spouse or dependent child of a covered employee. • A covered employee (but only if the qualifying event is a termination or reduction in hours of the covered employee’s employment.
Under the statute, a qualified beneficiary is someone who “is a beneficiary under the plan” (i.e., is covered under the plan) immediately prior to the qualifying event and who is: • The spouse or dependent child of a covered employee. • A covered employee, but only if the qualifying event is a termination or reduction in hours of the covered employee’s employment.
Under the statute, a qualified beneficiary is someone who “is a beneficiary under the plan” (i.e., is covered under the plan) immediately prior to the qualifying event and who is: The spouse or dependent child of a covered employee. A covered employee (but only if the qualifying event is a termination or reduction in hours of the covered employee’s employment.
