Page 41 - Dentsu 2022 Annual Enrollment Flyer
P. 41
Changes to the information in this notice Contact
The Plan must abide by the terms of the privacy For more information on the Plan’s privacy policies or
notice currently in effect. This notice takes effect on your rights under HIPAA, contact
September 23, 2013. However, the Plan reserves the Director of Benefits
right to change the terms of its privacy policies, as Dentsu
described in this notice, at any time and to make new 150 42nd Street
provisions effective for all health information that the New York, NY 10017
Plan maintains. This includes health information that
was previously created or received, not just health Important Notice from the BenefitsPlus Program
information created or received after the policy is About Your Creditable Prescription Drug Coverage and
changed. If changes are made to the Plan’s privacy Medicare
policies described in this notice, you will be provided
with a revised privacy notice via email and it will also be Please read this notice carefully and keep it where
posted on the company intranet. you can find it. This notice has information about
your current prescription drug coverage through the
Complaints BenefitsPlus program and about your options under
Medicare’s prescription drug coverage. This information
If you believe your privacy rights have been violated can help you decide whether you want to join a
or your Plan has not followed its legal obligations Medicare drug plan. Information about where you can
under HIPAA, you may complain to the Plan and to the get help to make decisions about your prescription drug
Secretary of Health and Human Services. You won’t coverage is at the end of this notice.
be retaliated against for filing a complaint. To file a
complaint, please put your complaint in writing to the If neither you nor any of your covered dependents are
Privacy Officer as indicated below under “contact.” If eligible for or have Medicare, this notice does not apply
your contact complaint pertains to an insured benefit, to you or your dependents, as the case may be. However,
please contact the person indicated in the notice you should still keep a copy of this notice in the event
distributed by the insurance company. Any complaints you or a dependent should qualify for coverage under
to the secretary should be addressed to the Secretary Medicare in the future. Please note, however, that later
of the US Department of Health and Human Services, notices might supersede this notice.
Hubert H. Humphrey Building, 200 Independence
Avenue, S.W., Washington, D.C. 20211. (You may get Medicare prescription drug coverage became available
additional information at www.hhs.gov). The Plan in 2006 to everyone with Medicare. You can get this
encourages you to express any concerns you may have coverage if you join a Medicare Prescription Drug Plan
regarding the Privacy of your information. or join a Medicare Advantage Plan (like an HMO or PPO)
that offers prescription drug coverage. All Medicare
drug plans provide at least a standard level of coverage
set by Medicare. Some plans may also offer more
coverage for a higher monthly premium.
Dentsu has determined that the prescription drug
coverage offered by the BenefitsPlus Medical Plan is, on
average for all plan participants, expected to pay out as
much as standard Medicare prescription drug coverage
pays and is considered “creditable” prescription drug
coverage. This is important for the reasons described
below.
Because your existing coverage is, on average, at
least as good as standard Medicare prescription drug
coverage, you can keep this coverage and not pay a
higher premium (a penalty) if you later decide to enroll
in a Medicare drug plan, as long as you later enroll
within specific time periods.
41 2022 Benefits Enrollment
The Plan must abide by the terms of the privacy For more information on the Plan’s privacy policies or
notice currently in effect. This notice takes effect on your rights under HIPAA, contact
September 23, 2013. However, the Plan reserves the Director of Benefits
right to change the terms of its privacy policies, as Dentsu
described in this notice, at any time and to make new 150 42nd Street
provisions effective for all health information that the New York, NY 10017
Plan maintains. This includes health information that
was previously created or received, not just health Important Notice from the BenefitsPlus Program
information created or received after the policy is About Your Creditable Prescription Drug Coverage and
changed. If changes are made to the Plan’s privacy Medicare
policies described in this notice, you will be provided
with a revised privacy notice via email and it will also be Please read this notice carefully and keep it where
posted on the company intranet. you can find it. This notice has information about
your current prescription drug coverage through the
Complaints BenefitsPlus program and about your options under
Medicare’s prescription drug coverage. This information
If you believe your privacy rights have been violated can help you decide whether you want to join a
or your Plan has not followed its legal obligations Medicare drug plan. Information about where you can
under HIPAA, you may complain to the Plan and to the get help to make decisions about your prescription drug
Secretary of Health and Human Services. You won’t coverage is at the end of this notice.
be retaliated against for filing a complaint. To file a
complaint, please put your complaint in writing to the If neither you nor any of your covered dependents are
Privacy Officer as indicated below under “contact.” If eligible for or have Medicare, this notice does not apply
your contact complaint pertains to an insured benefit, to you or your dependents, as the case may be. However,
please contact the person indicated in the notice you should still keep a copy of this notice in the event
distributed by the insurance company. Any complaints you or a dependent should qualify for coverage under
to the secretary should be addressed to the Secretary Medicare in the future. Please note, however, that later
of the US Department of Health and Human Services, notices might supersede this notice.
Hubert H. Humphrey Building, 200 Independence
Avenue, S.W., Washington, D.C. 20211. (You may get Medicare prescription drug coverage became available
additional information at www.hhs.gov). The Plan in 2006 to everyone with Medicare. You can get this
encourages you to express any concerns you may have coverage if you join a Medicare Prescription Drug Plan
regarding the Privacy of your information. or join a Medicare Advantage Plan (like an HMO or PPO)
that offers prescription drug coverage. All Medicare
drug plans provide at least a standard level of coverage
set by Medicare. Some plans may also offer more
coverage for a higher monthly premium.
Dentsu has determined that the prescription drug
coverage offered by the BenefitsPlus Medical Plan is, on
average for all plan participants, expected to pay out as
much as standard Medicare prescription drug coverage
pays and is considered “creditable” prescription drug
coverage. This is important for the reasons described
below.
Because your existing coverage is, on average, at
least as good as standard Medicare prescription drug
coverage, you can keep this coverage and not pay a
higher premium (a penalty) if you later decide to enroll
in a Medicare drug plan, as long as you later enroll
within specific time periods.
41 2022 Benefits Enrollment
