b'Notification of CTPF Continuation Period When Second COBRA Eligibility Qualifying Event OccursAs the annuitant, you are responsible for notifying CTPF ofIf, while on an 18-month COBRA continuation period a you or your dependent(s) loss of eligibility of coverage withinsecond qualifying event occurs, you and your dependents 60 days of the date of the qualified event, or the date onmay extend coverage an additional 18 months, for a which coverage would end, whichever is earlier. Failure tomaximum of 36 months. However, this 18-month extension notify CTPF within 60 days will result in termination of CTPFdoes not apply in the case of a new dependent added to COBRA continuation rights: existing COBRA coverage.Email or Fax PreferredDuring the pandemic, we encourage members to submitPremium Payment Undernotice by fax or email if possible, as U.S. Mail processingCTPF COBRAmay be delayed. Send notice by fax to 312.641.7185 or email an attachment (.pdf or .jpg format) toYou have 60 days from the date of the COBRA eligibility imaging@ctpf.org.letter to elect CTPF COBRA and 45 days from the date U.S. Mail of election to pay all premiums. Premium is 102% of the If you cannot send in a notice by fax or email, pleasegroup rate for each COBRA-enrolled individual and is not mail a notice to: subsidized by CTPF. Failure to pay the premium by the due Health Benefits Departmentdate will result in termination of coverage retroactive to Chicago Teachers Pension Fundthe last date of the month in which premiums were paid. 425 S. Financial Place, Suite 1400 Chicago, IL 60605-1000 Disability Extension of 18-Month CTPF sends a letter with CTPF COBRA continuation rightsPeriod of Continuation Coveragewithin 14 days of receiving notification of the health insurance termination with a qualified event. The letterIf, while covered under COBRA, you are determined to includes an enrollment form, premium payment information,be disabled by the Social Security Administration (SSA), and important deadline information.you may be eligible to extend coverage from 18 months If you and/or your dependent(s) do not receive a CTPFto 29 months. Enrolled dependents are also eligible for COBRA continuation letter within 30 days, and you notifiedthe extension. To extend benefits, you must have become CTPF within the required 60-day period, contact CTPFdisabled during the first 60 days of COBRA continuation immediately. coverage. You must submit a copy of the SSA determination letter to CTPF within 60 days of the date of the letter and before the end of the original 18-month COBRA CTPF COBRA Enrollment coverage period.You and/or your dependents have 60 days from theDisability Extension Premium Paymentdate of the COBRA eligibility letter to elect enrollmentDisabled individuals and their enrolled dependents pay an in COBRA and 45 days from the date of election to payincreased premium, up to 150% of the cost of coverage, for required premiums. Failure to complete and return theall months covered beyond the initial 18 months. enrollment form, or to submit payment by the due dates, will terminate COBRA rights. If the enrollment form and all required payments are received by the due dates, coverage will be reinstated retroactive to the date of thequalifying event.18 CTPF 2021 HEALTH INSURANCE HANDBOOKCTPF 2021 HEALTH INSURANCE HANDBOOK'