Page 29 - 2022 Clari Open Enrollment Benefits Guide

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Important Notices

Current Health Plan Notices Summary Plan Descriptions (SPDs)

Notices that must be provided to plan participants on an annual A Summary Plan Description, or SPD, is the legal document
basis are available on Clari's intranet and includes: for describing benefits provided under the plan as well as plan
rights and obligations to participants and beneficiaries. The

• Medicare Part D Notice following SPD is available on ADP Workforce Now.
Describes options to access prescription drug coverage for • Clari, Inc. Health and Welfare Plan
Medicare eligible individuals.

• Women’s Health and Cancer Rights Act
Describes benefits available to those that will or have Summary of Benefits and Coverage
undergone a mastectomy. A Summary of Benefits and Coverage (SBC) is a document

• Newborns’ and Mothers’ Health Protection Act required by the Affordable Care Act (ACA) that presents benefit
Describes the rights of mother and newborn to stay in the plan features in a standardized format. The following SBCs are
hospital 48-96 hours after delivery. available on ADP Workforce Now.

• HIPAA Notice of Special Enrollment Rights • Cigna HDHP/PPO
Describes when you can enroll yourself and/or dependents in • Kaiser HMO (CA and OR only)
health coverage outside of open enrollment.

• Notice of Choice of Providers Paper copies of these documents and notices are available if
Notifies you about the plan’s requirement that you name a
Primary Care Physician (PCP). requested. If you would like a paper copy, please contact
benefits@clari.com

• Children’s Health Insurance Program Reauthorization Act
(CHIPRA)
Describes availability of premium assistance for Medicaid
eligible dependents.

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