Page 34 - Dentsu 2022 Annual Enrollment Flyer
P. 34
Legal Notices
If you have questions about the annual notices For these enrollment opportunities, you will
available below or about the BenefitsPlus have 60 days – instead of 30 – from the date of
program, contact the BenefitsPlus Solution the Medicaid/CHIP eligibility change to request
Center at 855.326.7870. enrollment in the BenefitsPlus group health plan.
Note that this new 60-day extension doesn’t apply
State Provided Health Exchanges to enrollment opportunities other than due to the
Individuals without health insurance may sign Medicaid/CHIP eligibility change.
up for standardized coverage through health
insurance marketplaces run either by their state, WHCRA Annual Notice
the federal government, or a combination of the Do you know that your plan, as required by
two. Please see page 9 for the required health the Women’s Health and Cancer Rights Act of
exchange notice. 1998, provides benefits for mastectomy-related
Please note that in most cases you won’t be services including all stages of reconstruc¬tion
and surgery to achieve symmetry between the
eligible for federal financial assistance under breasts, prostheses, and complications resulting
a health exchange plan because the company from a mastectomy, including lymphedema?
subsidizes a significant portion of the cost of your Call UnitedHealthcare at 800.765.6717 for more
medical coverage and our plans exceed minimum information.
coverage standards. As a result, in most cases
it may be in your interest to keep your coverage Statement of Rights under the Newborns’ and
under the BenefitsPlus medical plan. Mothers’ Health Protection Act
Special Enrollment Notice Under federal law, group health plans and health
insurance issuers offering group health insurance
As you may know, if you have declined enrollment coverage generally may not restrict benefits for
in the flexible BenefitsPlus Program for you or any hospital length of stay in connection with
your dependents (including your spouse) because childbirth for the mother or newborn child to
of other health insurance coverage, you or your less than 48 hours following a vaginal delivery,
dependents may be able to enroll in comparable or fewer than 96 hours following a delivery by
coverage under the program without waiting for cesarean section. However, the plan or issuer may
the next open enrollment period, provided that pay for a shorter stay if the attending provider (for
you request enrollment within 30 days after your example, your doctor, nurse midwife, or physician
other coverage ends. In addition, if you have a new assistant), after consultation with the mother,
dependent as a result of marriage, birth, adoption discharges the mother or newborn earlier. Also,
or placement for adoption, you may be able to under federal law, plans and issuers may not set
enroll yourself and your eligible dependents, the level of benefits or out-of-pocket costs so
provided that you request enrollment within that any later portion of the 48-hour (or 96-hour)
30 days after the marriage, birth, adoption or stay is treated in a manner less favorable to the
placement for adoption. mother or newborn than any earlier portion of the
BenefitsPlus will also allow a special enrollment stay.
opportunity if you or your eligible dependents In addition, a plan or issuer may not, under federal
either: law, require that you, your physician, or other
• lose Medicaid or Children’s Health Insurance health care provider obtain authorization for
Program (CHIP) coverage because you are no prescribing a length of stay of up to 48 hours (or
longer eligible or 96 hours). However, you may be required to obtain
precer¬tification for any days of confinement
• become eligible for a state’s premium that exceeds 48 hours (or 96 hours). For
assistance program under Medicaid or CHIP. information on precertification, contact your plan
administrator.
34 2022 Benefits Enrollment
If you have questions about the annual notices For these enrollment opportunities, you will
available below or about the BenefitsPlus have 60 days – instead of 30 – from the date of
program, contact the BenefitsPlus Solution the Medicaid/CHIP eligibility change to request
Center at 855.326.7870. enrollment in the BenefitsPlus group health plan.
Note that this new 60-day extension doesn’t apply
State Provided Health Exchanges to enrollment opportunities other than due to the
Individuals without health insurance may sign Medicaid/CHIP eligibility change.
up for standardized coverage through health
insurance marketplaces run either by their state, WHCRA Annual Notice
the federal government, or a combination of the Do you know that your plan, as required by
two. Please see page 9 for the required health the Women’s Health and Cancer Rights Act of
exchange notice. 1998, provides benefits for mastectomy-related
Please note that in most cases you won’t be services including all stages of reconstruc¬tion
and surgery to achieve symmetry between the
eligible for federal financial assistance under breasts, prostheses, and complications resulting
a health exchange plan because the company from a mastectomy, including lymphedema?
subsidizes a significant portion of the cost of your Call UnitedHealthcare at 800.765.6717 for more
medical coverage and our plans exceed minimum information.
coverage standards. As a result, in most cases
it may be in your interest to keep your coverage Statement of Rights under the Newborns’ and
under the BenefitsPlus medical plan. Mothers’ Health Protection Act
Special Enrollment Notice Under federal law, group health plans and health
insurance issuers offering group health insurance
As you may know, if you have declined enrollment coverage generally may not restrict benefits for
in the flexible BenefitsPlus Program for you or any hospital length of stay in connection with
your dependents (including your spouse) because childbirth for the mother or newborn child to
of other health insurance coverage, you or your less than 48 hours following a vaginal delivery,
dependents may be able to enroll in comparable or fewer than 96 hours following a delivery by
coverage under the program without waiting for cesarean section. However, the plan or issuer may
the next open enrollment period, provided that pay for a shorter stay if the attending provider (for
you request enrollment within 30 days after your example, your doctor, nurse midwife, or physician
other coverage ends. In addition, if you have a new assistant), after consultation with the mother,
dependent as a result of marriage, birth, adoption discharges the mother or newborn earlier. Also,
or placement for adoption, you may be able to under federal law, plans and issuers may not set
enroll yourself and your eligible dependents, the level of benefits or out-of-pocket costs so
provided that you request enrollment within that any later portion of the 48-hour (or 96-hour)
30 days after the marriage, birth, adoption or stay is treated in a manner less favorable to the
placement for adoption. mother or newborn than any earlier portion of the
BenefitsPlus will also allow a special enrollment stay.
opportunity if you or your eligible dependents In addition, a plan or issuer may not, under federal
either: law, require that you, your physician, or other
• lose Medicaid or Children’s Health Insurance health care provider obtain authorization for
Program (CHIP) coverage because you are no prescribing a length of stay of up to 48 hours (or
longer eligible or 96 hours). However, you may be required to obtain
precer¬tification for any days of confinement
• become eligible for a state’s premium that exceeds 48 hours (or 96 hours). For
assistance program under Medicaid or CHIP. information on precertification, contact your plan
administrator.
34 2022 Benefits Enrollment
