Questions 174-176 refer to the following notice.
Separation Arrangements
In connection with your separation, your attention is called to the following matters
1. Your coverage will be continued for 10 days from date of termination. Under federal law (COBRA), you may be covered under this policy for up to 18 months by paying the Company the premium amount specified below within 30 days of termination and by subsequently continuing to pay the premium in a timely fashion. Failure to pay the premium within any 30-day period will result in discontinuance of the insurance.
Your GROUP PREMIUM RATTE is: 3.4%
Your HEALETH PLAN NUMBER is 1278-3421-11
Use this number in all correspondence concerm’ng your benefits
2. Your GROUP LIFE INSURANCE policy terminates on the last day of your employment, but it can be converted without a physical examination and at a higher indvidual rate within 30 days of termination. If you wish to do so, contact the insurance company within the next 30 days
If you have any questions about these matters please call.
Rundell
Personnel Director what is the GROUP PREMIUM RATE