Required Notices
COBRA Election Notice
Offers COBRA eligible members the opportunity to enroll.
Newborn and Mothers Health Protection Act
Prohibits plan authorization requirement for mother’s stay in hospital after birth of 48 to 96 hours depending on birthing circumstances.
The Exchange Notice FLSA
This form is for anyone that is thinking about moving to a Marketplace Exchange insurance plan.
Women’s Health & Cancer Rights (WHCRA)
The document informs participants of their right to certain benefits following a mastectomy.
Preventive Services Covered Under the Affordable Care Act (ACA)
If you have a new health insurance plan or insurance policy beginning on or after September 23, 2010, the following preventive services must be covered without your having to pay a copayment or co-insurance or meet your deductible. This applies only when these services are delivered by a network provider. See plan document for allowable visits per year (most common 1 per 12 months).
The Medicare Part D Disclosure Notice (Credible Coverage)
Notifies eligible individual participants as to whether the plan's prescription drug coverage is creditable compared to Medicare Part D prescription drug coverage.
The Employer CHIP Notice
This document describes the employee's and any dependent's right to enroll in the plan at a later date if they lose eligibility for Medicaid or CHIP or become eligible for state premium assistance.
HIPPA Notice of Special Enrollment Rights
States circumstances in which you can enroll in the plan outside of the enrollment period.
HIPPA Notice of Privacy Practices
This notice of privacy practices describes how medical information about you may be used and disclosed and how you can get access to this information.
Family and Medical Leave Act
This notice explains your employee rights under the Family and Medical Leave Act (FMLA).