Page 30 - Great Circle 2021 Benefits Guide
P. 30
Are There Other Coverage Options Besides Cobra Women’s Health and Cancer Rights
Continuation Coverage? Notice
Yes. Instead of enrolling in COBRA continuation coverage,
there may be other coverage options for you and your family Great Circle Employee Healthcare Plan is required by law to
through the Health Insurance Marketplace, Medicaid, or other provide you with the following notice:
group health plan coverage options (such as a spouse’s plan) The Women’s Health and Cancer Rights Act of 1998 (“WHCRA”)
through what is called a “special enrollment period.” Some provides certain protections for individuals receiving
of these options may cost less than COBRA continuation mastectomy-related beneits. Coverage will be provided in a
coverage. You can learn more about many of these options at manner determined in consultation with the attending physician
www.healthcare.gov . and the patient for:
If You Have Questions All stages of reconstruction of the breast on which the
Questions concerning your Plan or your COBRA continuation mastectomy was performed
coverage rights should be addressed to the contact or contacts Surgery and reconstruction of the other breast to produce
identiied below. For more information about your rights under a symmetrical appearance
ERISA, including COBRA, the Health Insurance Portability or Prostheses
Accountability Act (HIPAA), and other laws afecting group
health plans, contact the nearest Regional or District Oice Treatment of physical complications of the mastectomy,
of the U.S. Department of Labor’s Employee Beneits Security including lymphedemas
Administration (EBSA). Addresses and phone numbers of The Great Circle Employee Healthcare Plan provide(s) medical
Regional and District EBSA Oices are available through EBSA’s coverage for mastectomies and the related procedures listed
Web site at www.dol.gov/ebsa . above, subject to the same deductibles and coinsurance
Keep Your Plan Informed of Address Changes applicable to other medical and surgical beneits provided under
To protect your family’s rights, let the Plan Administrator know this plan.
about any changes in the addresses s of family members. You If you would like more information on WHCRA beneits, please
should also keep a copy, for your records, of any notices you refer to your Summary Plan Description or contact your Plan
send to the Plan Administrator. Administrator.
Plan Contact Information
Rita Bowie
Director of Beneits & Compensation
573.228.8812
30
Continuation Coverage? Notice
Yes. Instead of enrolling in COBRA continuation coverage,
there may be other coverage options for you and your family Great Circle Employee Healthcare Plan is required by law to
through the Health Insurance Marketplace, Medicaid, or other provide you with the following notice:
group health plan coverage options (such as a spouse’s plan) The Women’s Health and Cancer Rights Act of 1998 (“WHCRA”)
through what is called a “special enrollment period.” Some provides certain protections for individuals receiving
of these options may cost less than COBRA continuation mastectomy-related beneits. Coverage will be provided in a
coverage. You can learn more about many of these options at manner determined in consultation with the attending physician
www.healthcare.gov . and the patient for:
If You Have Questions All stages of reconstruction of the breast on which the
Questions concerning your Plan or your COBRA continuation mastectomy was performed
coverage rights should be addressed to the contact or contacts Surgery and reconstruction of the other breast to produce
identiied below. For more information about your rights under a symmetrical appearance
ERISA, including COBRA, the Health Insurance Portability or Prostheses
Accountability Act (HIPAA), and other laws afecting group
health plans, contact the nearest Regional or District Oice Treatment of physical complications of the mastectomy,
of the U.S. Department of Labor’s Employee Beneits Security including lymphedemas
Administration (EBSA). Addresses and phone numbers of The Great Circle Employee Healthcare Plan provide(s) medical
Regional and District EBSA Oices are available through EBSA’s coverage for mastectomies and the related procedures listed
Web site at www.dol.gov/ebsa . above, subject to the same deductibles and coinsurance
Keep Your Plan Informed of Address Changes applicable to other medical and surgical beneits provided under
To protect your family’s rights, let the Plan Administrator know this plan.
about any changes in the addresses s of family members. You If you would like more information on WHCRA beneits, please
should also keep a copy, for your records, of any notices you refer to your Summary Plan Description or contact your Plan
send to the Plan Administrator. Administrator.
Plan Contact Information
Rita Bowie
Director of Beneits & Compensation
573.228.8812
30
