Page 39 - Dentsu 2021 Benefit Guide
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Changes to the information in this notice Contact
The Plan must abide by the terms of the privacy notice For more information on the Plan’s privacy policies or your
currently in effect. This notice takes effect on September rights under HIPAA, contact
23, 2013. However, the Plan reserves the right to change Director of Benefits
the terms of its privacy policies, as described in this Dentsu
notice, at any time and to make new provisions effective 32 Avenue of Americas, 18 Floor
th
for all health information that the Plan maintains. This New York, NY 10013
includes health information that was previously created
or received, not just health information created or Important Notice from the BenefitsPlus Program About
received after the policy is changed. If changes are made Your Creditable Prescription Drug Coverage and Medicare
to the Plan’s privacy policies described in this notice, you
will be provided with a revised privacy notice via email and Please read this notice carefully and keep it where you
it will also be posted on the company intranet. can find it. This notice has information about your current
prescription drug coverage through the BenefitsPlus
Complaints program and about your options under Medicare’s
prescription drug coverage. This information can help
If you believe your privacy rights have been violated or you decide whether you want to join a Medicare drug
your Plan has not followed its legal obligations under plan. Information about where you can get help to make
HIPAA, you may complain to the Plan and to the Secretary decisions about your prescription drug coverage is at the
of Health and Human Services. You won’t be retaliated end of this notice.
against for filing a complaint. To file a complaint, please
put your complaint in writing to the Privacy Officer as If neither you nor any of your covered dependents are
indicated below under “contact.” If your contact complaint eligible for or have Medicare, this notice does not apply to
pertains to an insured benefit, please contact the person you or your dependents, as the case may be. However, you
indicated in the notice distributed by the insurance should still keep a copy of this notice in the event you or a
company. Any complaints to the secretary should be dependent should qualify for coverage under Medicare in
addressed to the Secretary of the US Department of the future. Please note, however, that later notices might
Health and Human Services, Hubert H. Humphrey Building, supersede this notice.
200 Independence Avenue, S.W., Washington, D.C. 20211.
(You may get additional information at www.hhs.gov). The Medicare prescription drug coverage became available
Plan encourages you to express any concerns you may in 2006 to everyone with Medicare. You can get this
have regarding the Privacy of your information. coverage if you join a Medicare Prescription Drug Plan
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.

AMA 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.



















39 2021 Benefits Enrollment
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