The Vermont Statutes Online
The Statutes below include the actions of the 2025 session of the General Assembly.
NOTE: The Vermont Statutes Online is an unofficial copy of the Vermont Statutes Annotated that is provided as a convenience.
Subchapter
004
:
CONTINUATION AND CONVERSION OF GROUP HEALTH INSURANCE POLICIES
(Cite as: 8 V.S.A. § 4047c)
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§ 4047c. Termination of coverage
Continuation of insurance under the group policy shall terminate upon the occurrence
of any of the following:
(1) The date 18 months after the date that insurance under the policy would have terminated
due to a qualifying event, as defined in subsection 4047a(b) of this title.
(2) The person fails to make timely payment of the required contribution.
(3) The person is covered by Medicare.
(4) The person is covered by any other group insured or uninsured arrangement that provides
dental coverage or hospital and medical coverage for individuals in a group, under
which the person was not covered immediately prior to the occurrence of a qualifying
event, as defined in subsection 4047a(b) of this title, and no preexisting condition exclusion applies; provided, however, that the person
shall remain eligible for continuation coverages that are not available under the
insured or uninsured arrangement.
(5) The date on which the group policy is terminated or, in the case of an employee, the
date on which the decedent’s or terminated employee’s employer terminates participation
under the group policy. If such coverage is replaced by similar coverage under another
group policy:
(A) the person shall have the right to become covered under that replacement policy for
the balance of the period that the person would have remained covered under the prior
group policy;
(B) the minimum level of benefits to be provided by the replacement policy shall be the
applicable level of benefits of the prior group policy reduced by any benefits payable
under that prior group policy; and
(C) the prior group policy shall continue to provide benefits to the extent of its accrued
liabilities and extensions of benefits as if the replacement has not occurred. (Recodified and amended 2025, No. 11, § 2, eff. September 1, 2025.)