One Bernard Baruch WayBox D-0202New York, NY 10010-5585Tel: 212-802-
2740Fax: 212-802-2745www.baruch.cuny.edu/hr HUMAN RESOURCES


To:  Employees Enrolled with Dependent Students in a City Health
Plan

From:  Donna Katz, SPHR  DK
  Associate Director of Human Resources

Date:  November 30, 2004

Re:         Graduating Students and Loss of Dependent Status
Continuation of Health Coverage-REMINDER


Under the City Health Plans, coverage for an unmarried, dependent, full
time student terminates when the student graduates, ceases to be a full
time student or on December 31st of the year of the student’s 23rd
birthday, whichever is earlier.

If your dependent falls under one of the above categories, you can purchase
continuation of health insurance (COBRA) at full cost plus 2%
administrative costs. Please notify us as soon as possible in writing to
Box D-0202 or you may e-mail [log in to unmask] Please
indicate employee name, social security number, health plan, reason, date
of loss of coverage and the name and social security number of the student.
A form is available at
http://www.baruch.cuny.edu/hr/documents/cobra_request_form_loss_dep_status.p
df. A COBRA package will be prepared and sent certified mail to your
dependent.

If you have any questions, please call Lois Scancarello at (212) 802-2740
or e-mail her at the above address.