Stryker Corporation. Legal Notices and Disclosures: Annual Enrollment for 2016 Benefits:

Size: px
Start display at page:

Download "Stryker Corporation. Legal Notices and Disclosures: Annual Enrollment for 2016 Benefits:"

Transcription

1 Stryker Corporation Legal Notices and Disclosures: Annual Enrollment for 2016 Benefits: Contents Equal Employment Opportunity and Affirmative Action Notice... 2 Summary Annual Report (SAR): Stryker Corporation Welfare Benefits Plan... 2 Notice of Your Right to Request a Special Enrollment Opportunity... 3 Women s Health and Cancer Rights Act of 1998 Notice... 3 Notice of Creditable Status of Your Prescription Drug Coverage... 4 Notice: Premium Assistance Under Medicaid and the Children s Health Insurance Program (CHIP)... 6 If you and/or your dependents have Medicare or will become eligible for Medicare in the next 12 months, a federal law gives you more choices about your prescription drug coverage. Please see pages 4 5 for more details. Benefits Teams: Contact Information Several notices in this packet refer to the Benefits Teams as additional resources for information. Their contact information is below. Benefits Teams Phone Fax Orthopaedics Shared hshared@stryker.com Services Spine spinebenefits@stryker.com Benefits Shared Services benefits@stryker.com

2 Equal Employment Opportunity and Affirmative Action Notice Stryker Corporation is committed to taking affirmative action to employ and advance in employment qualified disabled individuals. If you have a physical or mental impairment that substantially limits a major life activity and would like to be considered under our affirmative action program, please contact Human Resources. You may inform Human Resources of your desire to benefit under the program at any time after a conditional offer of employment at Stryker. Submission of this information is voluntary and refusal to provide it will not subject an employee to discharge or disciplinary treatment. Summary Annual Report (SAR): Stryker Corporation Welfare Benefits Plan This is a summary of the annual report of the Stryker Corporation Welfare Benefits Plan, EIN , Plan No. 501, for the period January 1, 2014 through December 31, The annual report has been filed with the Employee Benefits Security Administration, U.S. Department of Labor, as required under the Employee Retirement Income Security Act of 1974 (ERISA). Stryker Corporation has committed itself to pay certain health, dental and vision claims incurred under the terms of the plan. Insurance Information The plan has contracts with Blue Cross and Blue Shield of Alabama, Hartford Life and Accident, John Hancock Life Insurance Company (U.S.A.), Kaiser Foundation Health Plan Inc., BlueCross BlueShield of South Carolina, Kaiser Foundation Health Plan of Hawaii, Cigna Health and Life Insurance Company, Unum Life Insurance Company of America and Life Insurance Company of North America to pay health, dental, vision, life insurance, long-term disability, prescription drug, employee assistance program and accidental death and dismemberment claims incurred under the terms of the plan. The total premiums paid for the plan year ending December 31, 2014 were $13,069,404. Because they are so called "experience-rated" contracts, the premium costs are affected by, among other things, the number and size of claims. Of the total insurance premiums paid for the plan year ending December 31, 2014, the premiums paid under such "experience-rated" contracts were $1,239,125 and the total of all benefit claims paid under these contracts during the plan year was $1,087,951. Your Rights to Additional Information You have the right to receive a copy of the full annual report, or any part thereof, on request. The items listed below are included in that report: insurance information, including sales commissions paid by insurance carriers To obtain a copy of the full annual report, or any part thereof, write or call the office of Stryker Corporation at 2825 Airview Blvd, Kalamazoo, MI 49002, or by telephone at (269) You also have the legally protected right to examine the annual report at the main office of the plan (Stryker Corporation, 2825 Airview Blvd, Kalamazoo, MI 49002) and at the U.S. Department of Labor in Washington, D.C., or to obtain a copy from the U.S. Department of Labor upon payment of copying costs. Requests to the Department should be addressed to: Public Disclosure Room, Room N1513, Employee Benefits Security Administration, U.S. Department of Labor, 200 Constitution Avenue, N.W., Washington, D.C

3 Notice of Your Right to Request a Special Enrollment Opportunity If you are declining enrollment for yourself or your dependents (including your spouse) because of other health insurance or group health plan coverage, you may be able to enroll yourself and your dependents in this plan if you or your dependents lose eligibility for that other coverage (or if the employer stops contributing toward your or your dependents other coverage). However, you must request enrollment within 30 days of the date your or your dependents other coverage ends (or after the employer stops contributing toward the other coverage). In addition, if you have a new dependent as a result of marriage, birth, adoption, or placement for adoption, you may be able to enroll yourself and your dependents. However, you must request enrollment within 30 days of the marriage, birth, adoption, or placement for adoption. Stryker will also allow a special enrollment opportunity if you or your eligible dependents either: Lose Medicaid or Children s Health Insurance Program (CHIP) coverage because you are no longer eligible, or Become eligible for a state s premium assistance program under Medicaid or CHIP. For these enrollment opportunities, you will have 60 days instead of 30 days from the date of the Medicaid/CHIP eligibility change to request enrollment in the Stryker group health plan. Note that this 60-day extension doesn t apply to enrollment opportunities other than those due to the Medicaid/CHIP eligibility change. To request special enrollment or obtain more information or to enroll due to another qualifying life event, contact your Benefits Team. Women s Health and Cancer Rights Act of 1998 Notice Under federal law, group health plans and health insurance issuers that provide medical and surgical benefits for mastectomies must also provide coverage for the services listed below. For individuals receiving mastectomy-related benefits, the following services are to be provided in a manner determined in consultation with the attending physician and the patient: All stages of reconstruction of the breast on which the mastectomy has been performed. Surgery and reconstruction of the other breast to produce a symmetrical appearance. Prosthesis and treatment of physical complications in all stages of the mastectomy, including lymph edemas. These benefits will be provided subject to the same deductibles and coinsurance applicable to other medical and surgical benefits provided under this plan. If you would like more information on WHCRA benefits, contact your Benefits Team. 3

4 Notice of Creditable Status of Your Prescription Drug Coverage Please read this notice carefully and keep it where you can find it. This notice has information about your current prescription drug coverage if you are enrolled in a Stryker medical plan and about your options under Medicare s prescription drug coverage. This information can help you decide whether or not you want to join a Medicare drug plan. If you are considering joining, you should compare your current coverage, including which drugs are covered at what cost, with the coverage and costs of the plans offering Medicare prescription drug coverage in your area. Information about where you can get help to make decisions about your prescription drug coverage is at the end of this notice. Be sure to read this notice carefully and keep it in a safe place where you can find it. Following are some answers to questions you may have regarding creditable coverage and how it relates to Medicare Part D plans. What do I need to do? To stay with your current prescription drug coverage from Stryker, you don t have to do anything. Just keep using the coverage you have now. You will still use the same pharmacy network, keep the same affordable copays for your prescription drugs and will not need to go through an enrollment process. You re already enrolled in your current plan, which provides you with coverage that is, on average, at least as good as that offered under Medicare Part D. Why do I need to keep my notice of creditable coverage? If you are satisfied with your prescription drug coverage from Stryker, just keep using it as you do now. However, if you consider enrolling in one of the many Medicare Part D prescription drug plans, you may be asked for a copy of this notice. This notice will let a Medicare Part D plan know that you have creditable coverage now and are not required to pay a late enrollment penalty, which could result in a higher premium on your new coverage. Remember, the coverage you have now through Stryker is creditable coverage. That is, your current coverage is, on average, at least as good as that offered by Medicare Part D. What if I lose my notice of creditable coverage? If you need another copy of your notice of creditable coverage, please contact your Benefits Team. Do I have to enroll in a Medicare Part D plan now? No. You have the option to enroll in one of Medicare Part D s many prescription drug plans when you are first eligible and again each year from October 15 to December 7. However, you do not have to enroll in a Medicare Part D plan if you are satisfied with your current coverage. If you qualify for Medicare due to age, you may enroll in a Medicare drug plan during a seven-month initial enrollment period. That period begins three months prior to your 65th birthday, includes the month you turn 65, and continues for the ensuing three months. If you qualify for Medicare due to disability or end-stage renal disease, your initial Medicare Part D enrollment period depends on the date of your disability or when treatment began. If you choose to enroll in a Medicare Part D plan during the annual open enrollment period, your coverage will be effective on the following January 1. If you choose to enroll in a Medicare Part D plan when you are first eligible, your coverage will be effective on the first of the month after which you join. If, for some reason, you no longer have Stryker coverage, you also may be eligible for a special enrollment period to sign up for a Medicare prescription drug plan. If I am eligible and decide to enroll in a Medicare plan, how does this impact my coverage under the plan with Stryker? If you decide to join a Medicare drug plan while covered under the Stryker plan, your coverage under the Stryker plan will not be affected. For most persons, the Stryker plan will pay prescription drug benefits first, and Medicare will determine its payments second. If I decide to enroll in a Medicare Part D plan but don t like it, can I go back to my old plan with Stryker? If you consider enrolling in a Medicare Part D prescription drug plan, check with Stryker before you enroll. If you enroll in a Medicare Part D plan and drop your creditable coverage with Stryker, you may not be able to return to the same plan through Stryker until the next open enrollment period. It is important that you compare your current plan, including which drugs are covered, with the coverage and costs of Medicare Part D plans in your area. 4

5 What if I drop my coverage with Stryker, but don t enroll in a Medicare Part D plan? If you drop your current coverage, but do not enroll in a prescription drug plan approved by Medicare after your current coverage ends, you will have to pay full price for your prescription drugs. You also may have to pay more for Medicare prescription drug coverage later. If you go for 63 days or longer without coverage that is, on average, at least as good as Medicare s prescription drug coverage, your monthly premium under a Medicare plan will increase at least 1% for each month that you did not have coverage. This increase will be effective as long as you have Medicare Part D prescription coverage. For example, if you do not have coverage for 19 months before enrolling in Medicare Part D prescription drug coverage, your premium with a Medicare plan will always be 19% higher than what you would have paid if you had enrolled when you first lost Stryker coverage or when you first became eligible for a Medicare Part D plan. Also, you may have to wait until the next October 15 to enroll. If I keep my current coverage with Stryker, can I enroll in a Medicare Part D plan later? Yes. You have the opportunity to enroll in a Medicare Part D prescription drug plan each year from October 15 to December 7. However, if you decide you want to enroll in a Medicare Part D prescription drug plan, be sure you re covered under your current plan until your Medicare Part D coverage becomes effective. If you choose to enroll in a Medicare Part D plan without having creditable coverage with another plan like this one, you may have to pay an increased premium, as explained above. There are special enrollment periods that allow you to add Medicare Part D coverage months or even years after you first became eligible to do so, without a penalty. For example, if after your Medicare Part D initial enrollment period you lose or decide to drop the Stryker Plan, you will be eligible to join a Medicare drug plan at that time. In addition, if you otherwise lose other creditable prescription drug coverage (such as under an individual policy) through no fault of your own, you will be able to join a Medicare drug plan, again without penalty. These special enrollment periods end two months after the month in which your other coverage ends. How can I get more information? Each year, if you are Medicare eligible, you will receive a mailed copy of the handbook Medicare & You from Medicare. This book contains more detailed information about Medicare plans that offer prescription drug coverage. If you would like more information, you can find it by: Visiting Calling your State Health Insurance Assistance Program (see the inside back cover of your copy of the Medicare & You handbook for their telephone number) for personalized help. Calling MEDICARE ( ). TTY users should call For people with limited income and resources, extra help to pay for a Medicare prescription drug plan is available. For more information about this extra help, visit the Social Security Administration Web site at or call TTY users should call Be sure to keep this notice. You may be asked for a copy of this notice if you enroll in one of the prescription drug plans approved by Medicare. This notice will let your new plan know that you are not required to pay a higher premium amount. For more information about this notice or your current prescription drug coverage, visit or contact your Benefits Team. Note: You will receive this notice annually and at other times, such as before the next period you can enroll in Medicare prescription drug coverage or if your Stryker coverage changes. You also may request a copy. Date: October 1, 2015 Name of Entity: Stryker Corporation Contact/Position: Health Plan Administrator Address: 2825 Airview Boulevard, Kalamazoo, Michigan Telephone Number:

6 Notice: Premium Assistance Under Medicaid and the Children s Health Insurance Program (CHIP) If you or your children are eligible for Medicaid or CHIP and you re eligible for health coverage from your employer, your state may have a premium assistance program that can help pay for coverage, using funds from their Medicaid or CHIP programs. If you or your children aren t eligible for Medicaid or CHIP, you won t be eligible for these premium assistance programs but you may be able to buy individual insurance coverage through the Health Insurance Marketplace. For more information, visit If you or your dependents are already enrolled in Medicaid or CHIP and you live in a State listed below, contact your State Medicaid or CHIP office to find out if premium assistance is available. If you or your dependents are NOT currently enrolled in Medicaid or CHIP, and you think you or any of your dependents might be eligible for either of these programs, contact your State Medicaid or CHIP office or dial KIDS NOW or to find out how to apply. If you qualify, ask your state if it has a program that might help you pay the premiums for an employer-sponsored plan. If you or your dependents are eligible for premium assistance under Medicaid or CHIP, as well as eligible under your employer plan, your employer must allow you to enroll in your employer plan if you aren t already enrolled. This is called a special enrollment opportunity, and you must request coverage within 60 days of being determined eligible for premium assistance. If you have questions about enrolling in your employer plan, contact the Department of Labor at or call EBSA (3272). If you live in one of the following states, you may be eligible for assistance paying your employer health plan premiums. The following list of states is current as of July 31, Contact your State for more information on eligibility: Alabama Medicaid Website: Phone: Alaska Medicaid Website: Phone (Outside of Anchorage): Phone (Anchorage): Colorado Medicaid Medicaid Website: Medicaid Customer Contact Center: Florida Medicaid Website: Phone: Georgia Medicaid Website: o Click on Programs, then Medicaid, then Health Insurance Premium Payment (HIPP) Phone: Indiana Medicaid Website: Phone: Iowa Medicaid Website: Phone: Kansas Medicaid Website: Phone:

7 Kentucky Medicaid Website: Phone: Louisiana Medicaid Website: Phone: Maine Medicaid Website: Phone: TTY Massachusetts Medicaid and CHIP Website: Phone: Minnesota Medicaid Website: o Click on Health Care, then Medical Assistance Phone: Missouri Medicaid Website: Phone: Montana Medicaid Website: Phone: Nebraska Medicaid Website: Phone: Nevada Medicaid Medicaid Website: Medicaid Phone: New Hampshire Medicaid Website: Phone: New Jersey Medicaid and CHIP Medicaid Website: Medicaid Phone: CHIP Website: CHIP Phone: New York Medicaid Website: Phone: North Carolina Medicaid Website: Phone: North Dakota Medicaid Website: Phone: Oklahoma Medicaid and CHIP Website: Phone: Oregon Medicaid Website: Website: Phone: Pennsylvania Medicaid Website: Phone: Rhode Island Medicaid Website: Phone:

8 South Carolina Medicaid Website: Phone: South Dakota - Medicaid Website: Phone: Texas Medicaid Website: Phone: Utah Medicaid and CHIP Website: Medicaid: CHIP: Phone: Vermont Medicaid Website: Phone: Virginia Medicaid and CHIP Medicaid Website: Medicaid Phone: CHIP Website: CHIP Phone: Washington Medicaid Website: index.aspx Phone: ext West Virginia Medicaid Website: ult.aspx Phone: , HMS Third Party Liability Wisconsin Medicaid and CHIP Website: htm Phone: Wyoming Medicaid Website: Phone: To see if any other states have added a premium assistance program since July 31, 2015, or for more information on special enrollment rights, contact either: U.S. Department of Labor U.S Employee Benefits Security Administration EBSA (3272) Department of Health and Human Services Centers for Medicare & Medicaid Services , Menu Option 4, Ext OMB Control Number (expires 10/31/2016) 8

IMPORTANT BENEFIT ELECTION INFORMATION AND REQUIRED NOTICES

IMPORTANT BENEFIT ELECTION INFORMATION AND REQUIRED NOTICES IMPORTANT BENEFIT ELECTION INFORMATION AND REQUIRED NOTICES Enclosed in this packet is important benefit information regarding the Birmingham- Southern College (BSC) health plan and legal notices listed

More information

Eaton County Important Information Regarding Your Health Insurance. Distributed For the 2016 Plan Year

Eaton County Important Information Regarding Your Health Insurance. Distributed For the 2016 Plan Year Eaton County Important Information Regarding Your Health Insurance Distributed For the 2016 Plan Year HEALTH INSURANCE PORTABILITY AND ACCOUNTABILITY ACT OF 1996 (HIPAA) The Health Insurance Portability

More information

Premium Assistance Under Medicaid and the Children s Health Insurance Program (CHIP)

Premium Assistance Under Medicaid and the Children s Health Insurance Program (CHIP) Premium Assistance Under Medicaid and the Children s Health Insurance Program (CHIP) If you or your children are eligible for Medicaid or CHIP and you re eligible for health coverage from your employer,

More information

PREMIUM ASSISTANCE UNDER MEDICAID AND THE CHILDREN S HEALTH INSURANCE PROGRAM (CHIP). 2 WOMEN S HEALTH AND CANCER RIGHTS ACT ENROLLMENT NOTICE.

PREMIUM ASSISTANCE UNDER MEDICAID AND THE CHILDREN S HEALTH INSURANCE PROGRAM (CHIP). 2 WOMEN S HEALTH AND CANCER RIGHTS ACT ENROLLMENT NOTICE. LEGAL NOTICES PREMIUM ASSISTANCE UNDER MEDICAID AND THE CHILDREN S HEALTH INSURANCE PROGRAM (CHIP)... 2 WOMEN S HEALTH AND CANCER RIGHTS ACT ENROLLMENT NOTICE... 6 SPECIAL ENROLLMENT NOTICE... 7 CONTINUATION

More information

The Annual Notices are Effective:

The Annual Notices are Effective: 2017 Annual Notices The Annual Notices are Effective: Effective 01/01/2017 through 12/31/2017 Contents Required Federal Notices... 4 Notice of Availability of HIPAA Notice... 4 HIPAA Notice of Special

More information

IMPORTANT NOTICES FROM DENCO SALES, OR

IMPORTANT NOTICES FROM DENCO SALES, OR IMPORTANT NOTICES FROM DENCO SALES, OR PRESCRIPTION DRUG COVERAGE AND MEDICARE NOTICE - Creditable Coverage Please read this notice carefully and keep it where you can find it. This notice has information

More information

2019 Compliance Notices for Springfield School District

2019 Compliance Notices for Springfield School District 2019 Compliance Notices for Springfield School District The Health Insurance and Portability and Accountability Act of 1996 (HIPAA) HIPAA places limitations on a group health plan's ability to impose preexisting

More information

VOLUNTARY BENEFITS PRIVACY AND YOUR HEALTH COVERAGE REMINDER: WOMEN S HEALTH AND

VOLUNTARY BENEFITS PRIVACY AND YOUR HEALTH COVERAGE REMINDER: WOMEN S HEALTH AND PRIVACY AND YOUR HEALTH COVERAGE The privacy rules under the Health Insurance Portability and Accountability Act (HIPAA) require that the Capital One health plans periodically remind you about the availability

More information

COBRA Continuation Coverage. Newborns and Mothers Health Protection Act (NMHPA) Women s Health and Cancer Rights Act (WHCRA) Networks/Claims/Appeals

COBRA Continuation Coverage. Newborns and Mothers Health Protection Act (NMHPA) Women s Health and Cancer Rights Act (WHCRA) Networks/Claims/Appeals Newborns and Mothers Health Protection Act (NMHPA) A health plan which provides benefits for pregnancy delivery generally may not restrict benefits for a covered pregnancy Hospital stay (for delivery)

More information

Special Enrollment Notice

Special Enrollment Notice Health Care Plan Notices This benefit communication includes notices for the Employee Health Care Plan. You will find the following notices: Special Enrollment Notice CHIP Notice Medicare Part D Notice

More information

Premium Assistance Under Medicaid and the Children s Health Insurance Program (CHIP)

Premium Assistance Under Medicaid and the Children s Health Insurance Program (CHIP) October 16, 2017 2018 Open Enrollment - Annual Notices HIPAA Special Enrollment Rights - If you are declining enrollment for medical benefits for yourself or your eligible dependents (including your spouse)

More information

Health Insurance Marketplace Coverage & Mandate Penalties

Health Insurance Marketplace Coverage & Mandate Penalties Health Insurance Marketplace Coverage & Mandate Penalties There is a new way to buy health insurance: Insurance Marketplace. Open Enrollment for the Marketplace will start November 15, 2014 with coverage

More information

Federal Regulation Required Employer Notices

Federal Regulation Required Employer Notices November 1, 2016 Federal Regulation Required Employer Notices Tell Us When You re Medicare Eligible Please notify Human Resources when you or your dependents become eligible for Medicare. You will need

More information

Premium Assistance Under Medicaid and the Children s Health Insurance Program (CHIP)

Premium Assistance Under Medicaid and the Children s Health Insurance Program (CHIP) Required Notices Federal regulations require employers to provide employees with specific information (legal notices) on an annual basis concerning their rights and responsibilities under a benefits program.

More information

OPEN/ANNUAL ENROLLMENT NOTICE AND OTHER COMPLIANCE CONSIDERATIONS

OPEN/ANNUAL ENROLLMENT NOTICE AND OTHER COMPLIANCE CONSIDERATIONS OPEN/ANNUAL ENROLLMENT NOTICE AND OTHER COMPLIANCE CONSIDERATIONS 1. MEDICARE PART D REVISED Important Notice About Your Prescription Drug Coverage and Medicare Please read this notice carefully and keep

More information

November 21, Notices

November 21, Notices November 21, 2017 2018 Notices IMPORTANT NOTICES COBRA CONTINUATION OF COVERAGE NOTICE The right to COBRA continuation coverage was created by a federal law, the Consolidated Omnibus Budget Reconciliation

More information

Newborns and Mothers Health Protection Act (NMHPA) COBRA Continuation Coverage. Women s Health and Cancer Rights Act (WHCRA) Networks/Claims/Appeals

Newborns and Mothers Health Protection Act (NMHPA) COBRA Continuation Coverage. Women s Health and Cancer Rights Act (WHCRA) Networks/Claims/Appeals Newborns and Mothers Health Protection Act (NMHPA) A health plan which provides benefits for pregnancy delivery generally may not restrict benefits for a covered pregnancy Hospital stay (for delivery)

More information

Legal Notices. Reminder: Women s Health and Cancer Rights Act. Privacy and Your Health Coverage

Legal Notices. Reminder: Women s Health and Cancer Rights Act. Privacy and Your Health Coverage Legal Notices Privacy and Your Health Coverage The privacy rules under the Health Insurance Portability and Accountability Act (HIPAA) require that the Capital One health plans periodically remind you

More information

Medicare Part D Notice Women s Health and Cancer Rights Act Newborns and Mothers Health Protection Act... 5

Medicare Part D Notice Women s Health and Cancer Rights Act Newborns and Mothers Health Protection Act... 5 2016 Annual Notices Table of Contents Medicare Part D Notice... 2 Women s Health and Cancer Rights Act... 5 Newborns and Mothers Health Protection Act... 5 HIPAA Notice of Special Enrollment Rights...

More information

Annual Legal Notices

Annual Legal Notices Annual Legal Notices APRIL 1, 2012 PRIMARY CARE PROVIDERS Kaiser generally allows the designation of a primary care provider. You have the right to designate any primary care provider who participates

More information

IMPORTANT NOTICE FROM NORFOLK SOUTHERN CORPORATION ABOUT YOUR PRESCRIPTION DRUG COVERAGE AND MEDICARE

IMPORTANT NOTICE FROM NORFOLK SOUTHERN CORPORATION ABOUT YOUR PRESCRIPTION DRUG COVERAGE AND MEDICARE IMPORTANT NOTICE FROM NORFOLK SOUTHERN CORPORATION ABOUT YOUR PRESCRIPTION DRUG COVERAGE AND MEDICARE This notice has information about your current prescription drug coverage under the Norfolk Southern

More information

2014 Legal Notices. Notice of Creditable Coverage and CHIP Notice. Smart Choices, Healthy Lives.

2014 Legal Notices. Notice of Creditable Coverage and CHIP Notice. Smart Choices, Healthy Lives. 2014 Legal Notices Notice of Creditable Coverage and CHIP Notice Smart Choices, Healthy Lives www.prubenefitscenter.com Important Notice This Guide is intended to help you understand the main features

More information

Varian Medical Systems 2017 ANNUAL NOTICES. Active Employee

Varian Medical Systems 2017 ANNUAL NOTICES. Active Employee Varian Medical Systems 2017 ANNUAL NOTICES Active Employee What s Inside GRANDFATHERED PLANS... 3 STATE CONTINUATION OF COVERAGE RIGHTS... 3 CALIFORNIA ENROLLEES CAL-COBRA EXTENDED CONTINUATION COVERAGE...

More information

LEND LEASE (US) WELFARE BENEFITS PLAN ANNUAL NOTICE INFORMATION 2016

LEND LEASE (US) WELFARE BENEFITS PLAN ANNUAL NOTICE INFORMATION 2016 LEND LEASE (US) WELFARE BENEFITS PLAN ANNUAL NOTICE INFORMATION 2016 If you (and/or your dependents) have Medicare or will become eligible for Medicare in the next 12 months, a Federal law gives you more

More information

Important Notice About Your Prescription Drug Coverage and Medicare

Important Notice About Your Prescription Drug Coverage and Medicare Important Notice About Your Prescription Drug Coverage and Medicare Please read this notice carefully and keep it where you can find it. This notice has information about your current prescription drug

More information

County of Sacramento

County of Sacramento Internal Services Department of Personnel Services Employee Benefits Office Dave Comerchero, Manager County of Sacramento September 2014 Dear Employee: Open Enrollment begins September 29, 2014 and ends

More information

Open Enrollment B enefits Notices Templates

Open Enrollment B enefits Notices Templates S u s s e x W a n t a g e R e g i o n a l S c h o o l D i s t r i c t 2018-2019 Open Enrollment B enefits Notices Templates 2 0 1 8-2 0 1 9 O p e n E n r o l l m e n t B e n e f i t s N o t i T e m p l

More information

Annual Open Enrollment Benefit Plan Legal Notices Plan Year July 1, 2017 June 30, 2018

Annual Open Enrollment Benefit Plan Legal Notices Plan Year July 1, 2017 June 30, 2018 Annual Open Enrollment Benefit Plan Legal Notices Plan Year July 1, 2017 June 30, 2018 Enclosed Notices: 1. Qualified Status Change Events / Changing Your Pre-Tax Contribution Amount Mid-Year 2. HIPAA

More information

Newborns and Mothers Health Protection Act (NMHPA) COBRA Continuation Coverage. Women s Health and Cancer Rights Act (WHCRA) Networks/Claims/Appeals

Newborns and Mothers Health Protection Act (NMHPA) COBRA Continuation Coverage. Women s Health and Cancer Rights Act (WHCRA) Networks/Claims/Appeals Newborns and Mothers Health Protection Act (NMHPA) A health plan which provides benefits for pregnancy delivery generally may not restrict benefits for a covered pregnancy Hospital stay (for delivery)

More information

PEPSI-COLA BOTTLING CO. OF CORBIN KENTUCKY, INC. EMPLOYEE BENEFITS PLAN PRIVACY NOTICE

PEPSI-COLA BOTTLING CO. OF CORBIN KENTUCKY, INC. EMPLOYEE BENEFITS PLAN PRIVACY NOTICE PEPSI-COLA BOTTLING CO. OF CORBIN KENTUCKY, INC. EMPLOYEE BENEFITS PLAN PRIVACY NOTICE THIS NOTICE DESCRIBES HOW MEDICAL INFORMATION ABOUT YOU MAY BE USED AND DISCLOSED AND HOW YOU CAN GET ACCESS TO THIS

More information

Line Construction Benefit Fund 2000 Springer Drive, Lombard, IL NOTICE

Line Construction Benefit Fund 2000 Springer Drive, Lombard, IL NOTICE Line Construction Benefit Fund 2000 Springer Drive, Lombard, IL 60148 1-800-323-7268 www.lineco.org NOTICE December 2012 To All Lineco Participants, The Trustees of the Line Construction Benefit Fund have

More information

If you have any questions or need additional information, contact your Human Resources Department.

If you have any questions or need additional information, contact your Human Resources Department. DISCLOSURE NOTICES This booklet contains annual notices that may or may not apply to you and/or your family. Your Employer is required to provide these notices to each employee enrolled in our benefits

More information

Foothill-De Anza Community College District 2016 HEALTH PLAN NOTICES

Foothill-De Anza Community College District 2016 HEALTH PLAN NOTICES Foothill-De Anza Community College District 2016 HEALTH PLAN NOTICES TABLE OF CONTENTS 1. Medicare Part D Creditable Coverage Notice 2. HIPAA Comprehensive Notice of Privacy Policy and Procedures 3. Notice

More information

HIRE UP STAFFING SERVICES HEALTH & WELFARE PLAN SUMMARY PLAN DESCRIPTION. December 1, Copyright ERISA Compliance Services, Inc.

HIRE UP STAFFING SERVICES HEALTH & WELFARE PLAN SUMMARY PLAN DESCRIPTION. December 1, Copyright ERISA Compliance Services, Inc. HIRE UP STAFFING SERVICES HEALTH & WELFARE PLAN SUMMARY PLAN DESCRIPTION December 1, 2015 Copyright 2002-2016 ERISA Compliance Services, Inc. HIRE UP STAFFING SERVICES HEALTH & WELFARE PLAN SUMMARY PLAN

More information

Legally Required Notices and Other Important Information

Legally Required Notices and Other Important Information Legally Required Notices and Other Important Information Each year, there are legally required notices and disclosures that Ensign Services, Inc. (or our insurance carriers) are required to make to participants

More information

MEDICARE PART D CREDIBLE COVERAGE NOTICE. Important Notice About Your Prescription Drug Coverage and Medicare

MEDICARE PART D CREDIBLE COVERAGE NOTICE. Important Notice About Your Prescription Drug Coverage and Medicare MEDICARE PART D CREDIBLE COVERAGE NOTICE Important Notice About Your Prescription Drug Coverage and Medicare Please read this notice carefully and keep it where you can find it. This notice has information

More information

Table of Contents. Welcome Liberty EPO Medical Plan Freedom Direct POS Medical Plan Freedom Access POS Medical Plan...

Table of Contents. Welcome Liberty EPO Medical Plan Freedom Direct POS Medical Plan Freedom Access POS Medical Plan... Allen Health Care Services Benefits Guidebook 2016 Table of Contents Welcome....................................... 3 Liberty EPO Medical Plan.......................... 4 Freedom Direct POS Medical Plan...................

More information

NORTHERN BUCKEYE HEALTH PLAN

NORTHERN BUCKEYE HEALTH PLAN MEMBER NOTICES Regarding Your Benefit Plan Offered Through The Northern Buckeye Health Plan NW Division Of OHI Required Distribution NORTHERN BUCKEYE HEALTH PLAN October 1, 2015 COBRA CONTINUATION COVERAGE

More information

Presented by Ardent Solutions

Presented by Ardent Solutions Presented by Ardent Solutions TABLE OF CONTENTS INTRODUCTION... 2 PREPARING FOR (AND AVOIDING) A DOL AUDIT... 3 NAVIGATING A DOL AUDIT... 7 CHECKLIST OF REQUESTED DOCUMENTS... 9 AVAILABLE RESOURCES...

More information

Premium Assistance Under Medicaid and the Children s Health Insurance Program (CHIP)

Premium Assistance Under Medicaid and the Children s Health Insurance Program (CHIP) Required No ces Women s Health and Cancer Rights Act of 1998 (Janet s Law) Newborns and Mothers Health Protec on Act How to Obtain a No ce of HIPAA Privacy Prac ces Tell Us When You re Medicare Eligible

More information

2017 Annual Open Enrollment Period Thursday, November 3, Friday, December 2, 2016

2017 Annual Open Enrollment Period Thursday, November 3, Friday, December 2, 2016 TO: All Benefits-Eligible Employees FROM: Amy Hunter, Interim Director of Human Resources DATE: October17, 2017 SUBJECT: 2017 Annual Open Enrollment Period Thursday, November 3, 2016 - Friday, December

More information

BENEFIT PACKAGES AVAILABLE: JANUARY 1, 2015

BENEFIT PACKAGES AVAILABLE: JANUARY 1, 2015 BENEFIT SUMMARY PREPARED FOR THE ACTIVE EMPLOYEES OF: YAKIMA COUNTY BENEFIT PACKAGES AVAILABLE: JANUARY 1, 2015 PLAN #1 INNOVA BUY-UP PLAN: REGENCE MEDICAL/VISION/ DDWA DENTAL/ USABLE LIFE/AD&D PLAN #2

More information

Supplemental Unemployment & Disability Plan of Local Union 370. June 2018

Supplemental Unemployment & Disability Plan of Local Union 370. June 2018 FLINT PLUMBING AND PIPEFITTING FRINGE BENEFIT FUNDS Flint Plumbing & Pipefitting Industry Health Care Fund Flint Plumbing & Pipefitting Industry Pension Fund Flint Plumbing & Pipefitting Industry Defined

More information

HEALTH & WELFARE BENEFITS

HEALTH & WELFARE BENEFITS HEALTH & WELFARE BENEFITS S U M M ARY PLAN DE S CRIPT I O N HEALTH AND WELFARE BENEFITS FOR HESS EMPLOYEES HA7 January 2016 INTRODUCTION... 3 MEDICAL BENEFITS... 4 ELIGIBILITY & GENERAL INFORMATION...

More information

2018 Compliance Packet

2018 Compliance Packet 2018 Compliance Packet National Health Care Associates, Inc. 850 Silas Deane Highway Wethersfield, Connecticut 06109 860 263 3800 x3832 Created on: 09/20/2018 1 TABLE OF CONTENTS Health Insurance Exchange

More information

OPEN ENROLLMENT EVENTS 2014

OPEN ENROLLMENT EVENTS 2014 Department of Personnel Services Employee Benefits Office Dave Comerchero, Employee Benefits Manager County of Sacramento September 2014 Dear Retiree: Open Enrollment begins September 29, 2014 and ends

More information

benefit summary 2018

benefit summary 2018 2018 benefit summary 2018 Benefit Summary Benefits Overview City of Santa Monica is proud to offer a comprehensive benefits program that provides you with great flexibility to choose a plan that fits your

More information

Fort Hudson Health System, Inc.

Fort Hudson Health System, Inc. Please keep all these documents in a safe place for future reference. Fort Hudson Health System, Inc. 2015 State & Federal Employee Health Plan Required Notices The attached information is provided so

More information

MABANK INDEPENDENT SCHOOL DISTRICT

MABANK INDEPENDENT SCHOOL DISTRICT MABANK INDEPENDENT SCHOOL DISTRICT NEW EMPLOYEE PACKET 2015-2016 MABANK I.S.D DIRECT DEPOSIT REQUEST Name: (Print as shown on Payroll Check) Date to begin automatic deposit: Provide the following information

More information

Summary Annual Reports and Legal Notices. Verizon Communications Inc. Benefit Plans

Summary Annual Reports and Legal Notices. Verizon Communications Inc. Benefit Plans Summary Annual Reports and Legal Notices Verizon Communications Inc. Benefit Plans One Verizon Way Basking Ridge, NJ 07920 December 2012 Dear Benefit Plan Participant or Beneficiary: Each year, the company

More information

City of Starkville New Hire Enrollment Benefits Guide

City of Starkville New Hire Enrollment Benefits Guide . 2017-2018 City of Starkville New Hire Enrollment Benefits Guide NEW HIRE ENROLLMENT OVERVIEW Your New Hire Enrollment Benefits Guide summarizes the 2017-2018 benefits options available to eligible employees

More information

MEDICARE PART D NON CREDITABLE COVERAGE NOTICE. Important Notice About Your Prescription Drug Coverage and Medicare

MEDICARE PART D NON CREDITABLE COVERAGE NOTICE. Important Notice About Your Prescription Drug Coverage and Medicare MEDICARE PART D NON CREDITABLE COVERAGE NOTICE Important Notice About Your Prescription Drug Coverage and Medicare Please read this notice carefully and keep it where you can find it. This notice has information

More information

Your Smith College Health and Welfare Benefits Summary Plan Description

Your Smith College Health and Welfare Benefits Summary Plan Description Your Smith College Health and Welfare Benefits Summary Plan Description Administrative and Staff Positions About This Booklet Inside this booklet, you ll find important information about your health and

More information

OPEN ENROLLMENT GET READY! GET SET! GO! See page 6 for important information concerning Medicare Part D coverage.

OPEN ENROLLMENT GET READY! GET SET! GO! See page 6 for important information concerning Medicare Part D coverage. OPEN ENROLLMENT 2015 GET READY! Your Dates To Enroll (Elections become effective January 1, 2015): October 20 - October 31, 2014 GET SET! It is time to review your benefit elections for the new Plan year.

More information

Employee Benefits Guide

Employee Benefits Guide Employee Benefits Guide Plans effective January 1, 2016 Full-Time Public Safety Employees Welcome to Montgomery County Community College! Montgomery County Community College (the College) strives to offer

More information

2018 Health Insurance Plans For Retired SDCERA Members

2018 Health Insurance Plans For Retired SDCERA Members San Diego County Employees Retirement Association Strength. Service. Commitment. 2018 Health Insurance Plans For Retired SDCERA Members Table of Contents Eligibility...1 Enrollment in a plan...1 Health

More information

MEDICAID BUY-IN PROGRAMS

MEDICAID BUY-IN PROGRAMS MEDICAID BUY-IN PROGRAMS Under federal law, states have the option of creating Medicaid buy-in programs that enable employed individuals with disabilities who make more than what is allowed under Section

More information

WESTERN PENNSYLVANIA ELECTRICAL EMPLOYEES INSURANCE TRUST FUND

WESTERN PENNSYLVANIA ELECTRICAL EMPLOYEES INSURANCE TRUST FUND WESTERN PENNSYLVANIA ELECTRICAL EMPLOYEES INSURANCE TRUST FUND NOTICE FOR COBRA COVERAGE If you are involuntarily terminated from employment between September 1, 2008 and December 31, 2009, and are eligible

More information

tomrn Here. For Life. October 6,2011 Important Benefit Information

tomrn Here. For Life. October 6,2011 Important Benefit Information Here. For Life. C tomrn October 6,2011 mportant Benefit nformation Annually, the U.S. Department of Labor requires employers to distribute the attached notices to all enrolled participants in the employee

More information

San Diego County Employees Retirement Association Health Insurance Plans For Retired SDCERA Members

San Diego County Employees Retirement Association Health Insurance Plans For Retired SDCERA Members San Diego County Employees Retirement Association 2019 Health Insurance Plans For Retired SDCERA Members Table of Contents Eligibility...1 Enrollment in a plan...1 Health Insurance Allowance...2 2019 Monthly

More information

Compliance Guide. Presented By:

Compliance Guide. Presented By: 2016-2017 Compliance Guide Presented By: 1 Introduction This booklet contains mandatory annual notices regarding your health and welfare benefit plans through Washington Odd Fellows Home for the plan year

More information

EMPLOYEE BENEFITS

EMPLOYEE BENEFITS EMPLOYEE BENEFITS 2011-2012 1 2011-2012 NEW HIRE BENEFITS OVERVIEW The University of St. Thomas offers a comprehensive benefits package to all of our full time employees. You are eligible to participate

More information

The Effect of the Federal Cigarette Tax Increase on State Revenue

The Effect of the Federal Cigarette Tax Increase on State Revenue FISCAL April 2009 No. 166 FACT The Effect of the Federal Cigarette Tax Increase on State Revenue By Patrick Fleenor Today the federal cigarette tax will rise from 39 cents to $1.01 per pack. The proceeds

More information

LEGAL NOTICES. This publication contains important information about your employee benefit program. Please read thoroughly.

LEGAL NOTICES. This publication contains important information about your employee benefit program. Please read thoroughly. LEGAL NOTICES 2018 This publication contains important information about your employee benefit program. Please read thoroughly. Table of Contents Women s Health and Cancer Rights Act............. 3 Medicare

More information

Medicaid and CHIP Eligibility, Enrollment, Renewal, and Cost-Sharing Policies as of January

Medicaid and CHIP Eligibility, Enrollment, Renewal, and Cost-Sharing Policies as of January State Required in Medicaid Table 15 Premium, Enrollment Fee, and Cost-Sharing Requirements for Children January 2016 Premiums/Enrollment Fees Required in CHIP (Total = 36) Lowest Income at Which Premiums

More information

Account-based medical plans Summary of Benefits and Coverage supplement

Account-based medical plans Summary of Benefits and Coverage supplement Account-based medical plans Summary of Benefits and Coverage supplement We want you to have tools and resources to help you make informed health care decisions. For each of the medical plans this year,

More information

2019 Summary of Benefits

2019 Summary of Benefits Plus Plan Value Plan S7126 2019 Summary of Benefits January 1, 2019 December 31, 2019 This booklet gives you a summary of what Mutual of Omaha Rx SM (PDP) Plus and Value plans cover and what you pay. It

More information

2018 Required Notices

2018 Required Notices 2018 Required Notices HIPAA Notice of Special Enrollment Rights If you are declining enrollment for yourself or your dependents (including your spouse) because of other health insurance or group health

More information

Checkpoint Payroll Sources All Payroll Sources

Checkpoint Payroll Sources All Payroll Sources Checkpoint Payroll Sources All Payroll Sources Alabama Alaska Announcements Arizona Arkansas California Colorado Connecticut Source Foreign Account Tax Compliance Act ( FATCA ) Under Chapter 4 of the Code

More information

Summary of Benefits. Express Scripts Medicare. Value Choice S5660 & S5983. January 1, 2016 December 31, 2016

Summary of Benefits. Express Scripts Medicare. Value Choice S5660 & S5983. January 1, 2016 December 31, 2016 Express Scripts Medicare Value Choice (a Medicare prescription drug plan (PDP) offered by Medco Containment Life Insurance Company and Medco Containment Insurance Company of New York (for members located

More information

Table 15 Premium, Enrollment Fee, and Cost Sharing Requirements for Children, January 2017

Table 15 Premium, Enrollment Fee, and Cost Sharing Requirements for Children, January 2017 State Required in Medicaid Required in CHIP (Total = 36) 1 Lowest Income at Which Premiums Begin (Percent of the FPL) 2 Required in Medicaid Required in CHIP (Total = 36) 1 Lowest Income at Which Cost

More information

AIG Benefit Solutions Producer Licensing and Appointment Requirements by State

AIG Benefit Solutions Producer Licensing and Appointment Requirements by State 3600 Route 66, Mail Stop 4J, Neptune, NJ 07754 AIG Benefit Solutions Producer Licensing and Appointment Requirements by State As an industry leader in the group insurance benefits market, AIG is firmly

More information

HESS CORPORATION EMPLOYEES HEALTH AND WELFARE PLAN SUMMARY PLAN DESCRIPTION

HESS CORPORATION EMPLOYEES HEALTH AND WELFARE PLAN SUMMARY PLAN DESCRIPTION HESS CORPORATION EMPLOYEES HEALTH AND WELFARE PLAN SUMMARY PLAN DESCRIPTION FOR HESS EMPLOYEES 2018 TABLE OF CONTENTS INTRODUCTION... 3 GENERAL INFORMATION... 5 ELIGIBILITY & ENROLLMENT... 10 IMPORTANT

More information

Annual Benefits Enrollment: Oct. 31 Nov. 11

Annual Benefits Enrollment: Oct. 31 Nov. 11 Annual Benefits Enrollment: Oct. 31 Nov. 11 The annual enrollment period for making changes to your 2012 benefits is Oct. 31 Nov. 11. During annual enrollment, you can make any changes to your benefits

More information

Kentucky , ,349 55,446 95,337 91,006 2,427 1, ,349, ,306,236 5,176,360 2,867,000 1,462

Kentucky , ,349 55,446 95,337 91,006 2,427 1, ,349, ,306,236 5,176,360 2,867,000 1,462 TABLE B MEMBERSHIP AND BENEFIT OPERATIONS OF STATE-ADMINISTERED EMPLOYEE RETIREMENT SYSTEMS, LAST MONTH OF FISCAL YEAR: MARCH 2003 Beneficiaries receiving periodic benefit payments Periodic benefit payments

More information

SUMMARY OF FEDERAL AND STATE REGULATIONS IMPACTING EMPLOYEE BENEFITS. Health Care Reform

SUMMARY OF FEDERAL AND STATE REGULATIONS IMPACTING EMPLOYEE BENEFITS. Health Care Reform SUMMARY OF FEDERAL AND STATE REGULATIONS IMPACTING EMPLOYEE BENEFITS There are a number of federal and state regulations that impact employee benefit plans. This section highlights some information on

More information

State Individual Income Taxes: Personal Exemptions/Credits, 2011

State Individual Income Taxes: Personal Exemptions/Credits, 2011 Individual Income Taxes: Personal Exemptions/s, 2011 Elderly Handicapped Blind Deaf Disabled FEDERAL Exemption $3,700 $7,400 $3,700 $7,400 $0 $3,700 $0 $0 $0 $0 Alabama Exemption $1,500 $3,000 $1,500 $3,000

More information

SUMMARY PLAN DESCRIPTION (SPD) AN IMPORTANT COMPONENT OF YOUR TOTAL REWARDS PROGRAM FLEXIBLE BENEFIT PLAN

SUMMARY PLAN DESCRIPTION (SPD) AN IMPORTANT COMPONENT OF YOUR TOTAL REWARDS PROGRAM FLEXIBLE BENEFIT PLAN SUMMARY PLAN DESCRIPTION (SPD) AN IMPORTANT COMPONENT OF YOUR TOTAL REWARDS PROGRAM FLEXIBLE BENEFIT PLAN Effective Date: 1/1/2018 CONTENTS Introduction... 1 Plan at a Glance... 2 Eligibility... 3 Associate

More information

Los Rios Community College District 2017 Annual Health Plan Notices

Los Rios Community College District 2017 Annual Health Plan Notices f Los Rios Community College District 2017 Annual Health Plan Notices INCLUDED IN THIS PACKET Medicare Notice of Creditable Coverage Newborns and Mothers Health Protection Act Notice Women s Health and

More information

Nation s Uninsured Rate for Children Drops to Another Historic Low in 2016

Nation s Uninsured Rate for Children Drops to Another Historic Low in 2016 Nation s Rate for Children Drops to Another Historic Low in 2016 by Joan Alker and Olivia Pham The number of uninsured children nationwide dropped to another historic low in 2016 with approximately 250,000

More information

COBRA Enrollment Period October 24 - November 7, 2016

COBRA Enrollment Period October 24 - November 7, 2016 BROADCOM 2017 Benefits Enrollment Guide To help you make informed benefit choices! COBRA Enrollment Period October 24 - November 7, 2016 Your Enrollment Checklist Read this Guide for a COBRA benefits overview

More information

Income from U.S. Government Obligations

Income from U.S. Government Obligations Baird s ----------------------------------------------------------------------------------------------------------------------------- --------------- Enclosed is the 2017 Tax Form for your account with

More information

Annual Costs Cost of Care. Home Health Care

Annual Costs Cost of Care. Home Health Care 2017 Cost of Care Home Health Care USA National $18,304 $47,934 $114,400 3% $18,304 $49,192 $125,748 3% Alaska $33,176 $59,488 $73,216 1% $36,608 $63,492 $73,216 2% Alabama $29,744 $38,553 $52,624 1% $29,744

More information

NOTICE OF MATERIAL MODIFICATIONS to the benefit plans of E. I. du Pont de Nemours & Co. including subsidiary legal entities

NOTICE OF MATERIAL MODIFICATIONS to the benefit plans of E. I. du Pont de Nemours & Co. including subsidiary legal entities THIS NOTICE IS REQUIRED BY LAW. NO ACTION IS REQUIRED BY YOU. NOTICE OF MATERIAL MODIFICATIONS to the benefit plans of E. I. du Pont de Nemours & Co. including subsidiary legal entities DuPont is required

More information

The Fine Print. ACA Marketplace Notices Legal Notices Notice of Privacy Practices LN2

The Fine Print. ACA Marketplace Notices Legal Notices Notice of Privacy Practices LN2 The Fine Print ACA Marketplace Notices Legal Notices Notice of Privacy Practices 2 LN2 February, 2018 Dear Employee: The Affordable Care Act (ACA) (or Health Care Reform) was signed into law in 2010, and

More information

If you have any other questions, please feel free to call us at MEDICARE ( ). Sincerely,

If you have any other questions, please feel free to call us at MEDICARE ( ). Sincerely, Thank you for your recent request for the Patient s Request for Medical Payment form (CMS 1490S). Enclosed is the form, instructions for completing it, and where to return the form for processing. Please

More information

2018 COBRA Benefits Guide

2018 COBRA Benefits Guide 2018 COBRA Benefits Guide PHCA Administration LLC Providers, Executives and Staff Important Contacts Plan/Program Insurance Company/Administrator Medical (UnitedHealthcare) Dental (Guardian) Vision (Guardian)

More information

IMPORTANT NOTICE This packet of notices related to our health care plan includes a notice regarding how the plan s prescription drug coverage

IMPORTANT NOTICE This packet of notices related to our health care plan includes a notice regarding how the plan s prescription drug coverage IMPORTANT NOTICE This packet of notices related to our health care plan includes a notice regarding how the plan s prescription drug coverage compares to Medicare Part D. If you or a covered family member

More information

ANNUAL NOTICES GUIDE. Dent Wizard Interna onal

ANNUAL NOTICES GUIDE. Dent Wizard Interna onal ANNUAL NOTICES GUIDE Dent Wizard Interna onal CONTENTS Availability of Summary Health Informa on......2 Prescrip on Drug Coverage and Medicare 3 4 HIPAA Privacy Policy.. 5 HIPAA Special Enrollment Rights....5

More information

2013 Summary of Benefits

2013 Summary of Benefits 2013 Summary of Benefits SilverScript Basic (PDP) SilverScript Choice (PDP) SilverScript Plus (PDP) January 1, 2013 December 31, 2013 S5601 SilverScript Basic (PDP), SilverScript Choice (PDP) and SilverScript

More information

AFFORDABLE CARE ACT ( ACA ) EMPLOYEE COMMUNICATION PART I OVERVIEW OF HEALTHCARE REFORM

AFFORDABLE CARE ACT ( ACA ) EMPLOYEE COMMUNICATION PART I OVERVIEW OF HEALTHCARE REFORM AFFORDABLE CARE ACT ( ACA ) EMPLOYEE COMMUNICATION PART I OVERVIEW OF HEALTHCARE REFORM Most employees are familiar with the terms healthcare reform, the Affordable Care Act ( ACA ) or Obamacare. The media

More information

ELIGIBILITY INFORMATION YOU NEED TO KNOW

ELIGIBILITY INFORMATION YOU NEED TO KNOW EMPLOYEE BENEFITS PLAN YEAR 2017-2018 TABLE OF CONTENTS Eligibility Information You Need to Know 3 Medical Benefits / Premiums 4 Deductible Type / Alternative Prescription Drug Program 6 Arkansas Blue

More information

By: Adelle Simmons and Laura Skopec ASPE

By: Adelle Simmons and Laura Skopec ASPE ASPE RESEARCH BRIEF 47 MILLION WOMEN WILL HAVE GUARANTEED ACCESS TO WOMEN S PREVENTIVE SERVICES WITH ZERO COST-SHARING UNDER THE AFFORDABLE CARE ACT By: Adelle Simmons and Laura Skopec ASPE The Affordable

More information

Table 1: Medicaid and CHIP: December 2016 and January 2017 Preliminary Monthly Enrollment

Table 1: Medicaid and CHIP: December 2016 and January 2017 Preliminary Monthly Enrollment Table 1: Medicaid and CHIP: December 2016 and January 2017 Preliminary Monthly Enrollment Performance Indicator Information: The Medicaid and CHIP performance indicators were developed in consultation

More information

Medicaid & CHIP: October Monthly Applications and Eligibility Determinations Report December 3, 2013

Medicaid & CHIP: October Monthly Applications and Eligibility Determinations Report December 3, 2013 DEPARTMENT OF HEALTH AND HUMAN SERVICES Centers for Medicare & Medicaid Services 7500 Security Boulevard, Mail Stop S2-26-12 Baltimore, MD 21244-1850 Center for Medicaid and CHIP Services Background Medicaid

More information

October Dear Valued Employee,

October Dear Valued Employee, October 2015 Dear Valued Employee, This booklet includes Summaries of Material Modification (SMMs) that provide important updates about your benefits as well as legally required annual notices. Each SMM

More information

Table 1: Medicaid and CHIP: March and April 2017 Preliminary Monthly Enrollment

Table 1: Medicaid and CHIP: March and April 2017 Preliminary Monthly Enrollment Table 1: Medicaid and CHIP: March and April 2017 Preliminary Monthly Enrollment Performance Indicator Information: The Medicaid and CHIP performance indicators were developed in consultation with states,

More information

HealthSpring Prescription Drug Plan (PDP) 2013 Summary of Benefits S5932

HealthSpring Prescription Drug Plan (PDP) 2013 Summary of Benefits S5932 HealthSpring Prescription Drug Plan (PDP) 2013 Summary of Benefits S5932 Alabama, Alaska, Arizona, Arkansas, California, Colorado, Connecticut, Delaware, District of Columbia, Florida, Georgia, Hawaii,

More information

2018 Important Legal Notices

2018 Important Legal Notices 2018 Important Legal Notices We have consolidated the following required legal notices in this one document for your reference. Special Enrollment Rights Notice HIPAA Special Enrollment Notice Teradyne

More information

COSTCO EMPLOYEE BENEFIT PROGRAM ANNUAL OPEN ENROLLMENT

COSTCO EMPLOYEE BENEFIT PROGRAM ANNUAL OPEN ENROLLMENT COSTCO EMPLOYEE BENEFIT PROGRAM ANNUAL OPEN ENROLLMENT 2010-2011 Welcome to the 2010-2011 Annual Open Enrollment for the Costco Benefits Program. This guide provides you with the information necessary

More information