21 • If there is an occurrence of a “second qualifying event” experienced by you or any other qualified beneficiary after you, or the other qualified beneficiary who previously became entitled to COBRA with a maximum duration of 24 (or 35) calendar months. This second qualifying event could include your death, you becoming entitled to Medicare, your divorce or legal separation, or your dependent losing eligibility status under the Plan. (More information about second qualifying events is provided later in this section.); • If a qualified beneficiary entitled to receive COBRA continuation coverage with a maximum of 24 calendar months has been determined by the Social Security Administration to be disabled. If this determination is made at any time that an individual is disabled during the first 60 calendar days of COBRA continuation coverage, the qualified beneficiary may be eligible for an 11-calendar month extension of the original 24-calendar month maximum coverage period, for a total of 35 calendar months of COBRA continuation coverage; and • If the Social Security Administration determines that a qualified beneficiary is no longer disabled. Failure to provide the proper notice within the required timeframes, as set forth below, may prevent you from obtaining or extending COBRA continuation coverage. The Fund Office will determine whether a qualifying event has occurred for purposes of COBRA Continuation Coverage. However, you should promptly notify the Fund Office of any of these qualifying events listed herein. This will allow the Fund Office to process your election for continuation of coverage more efficiently, with little or no interruption in your coverage and the handling of your claims. Procedures for Notifying the Plan of a Qualifying Event To notify the Fund Office of any of the qualifying events listed above, a “qualified beneficiary” can send a notice via U.S. First Class mail, fax or email to request continued coverage under the Plan within the later of 60 calendar days from the date of the qualifying event or the date coverage was lost under the Plan due to the qualifying event. The notice must be in a form that documents the date sent ( e.g ., if sent by mail, the request must be postmarked no later than 60 calendar days after the date described above). In the event of divorce or legal separation, you must also submit a copy of the divorce decree or written proof of the legal separation. In the event of a Social Security Administration determination of disability, you must submit a copy of the Social Security disability determination. If you are providing notice of a Social Security Administration determination of disability, the notice must be postmarked no later than 60 calendar days after the latest of: • The date of the disability determination by the Social Security Administration; • The date on which the qualifying event occurs; or • The date on which the qualified beneficiary loses (or would lose) coverage under the plan as a result of the qualifying event. Notice of a Social Security disability determination must be submitted to the Fund Office before the end of the first 18 calendar months of the COBRA continuation coverage. If you are providing notice of a Social Security Administration determination that a qualified beneficiary is no longer disabled, the notice must be postmarked no later than 30 calendar days after the date of

BTF Summary Plan A/A+ - Page 26 BTF Summary Plan A/A+ Page 25 Page 27