Page 3 - 2023 North Texas Neurscience Benefit Guide
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Important Information
The intent of our benefit guide is to briefly highlight your benefits and NOT to replace your insurance
contracts or booklets. The information has been compiled into summary form to outline the benefits
offered by our company. If this benefit guide does not address your specific benefit questions,
please refer to the Contact Information page of this booklet. The contact page will provide you with
the information you need to contact the specific insurance carriers and/or Human Resources
Department for additional assistance. The information provided in this summary is for comparative
purposes only. Actual claims paid are subject to the specific terms and conditions of each policy
contract. This benefit guide does not constitute SBC’s, policy or contract. Our Employee Benefit
Portal includes plan information, summaries, costs, carriers contact information, videos and more.
Who is Eligible?
If you are a full-time employee, working a minimum of 30 hours per week, you are eligible to enroll
in the benefits described in this guide. Eligible employees are eligible on the first of the month
following 60 days. Family members are eligible for medical, dental, vision, LTD and life/AD&D (see
benefit page for dependent children age requirements).
When to Enroll?
All employees are required to complete their open enrollment form
and provide your signed copy to Tisha Bailleu upon completion.
Open Enrollment is in April for a May 1st effective date.
Can I make changes during the plan year?
Yes, you have HIPAA Special Enrollment Rights. To review these rights,
please refer to page 16.
LAW TO HAVE HEALTH INSURANCE
Individuals are still required to have medical unless you
have qualified waivers as mandated by current law. The
penalty for not having coverage ends January 1, 2019.
Please note that the medical plans offered by North Texas Neuroscience Center, P.A.
exceed the minimum value standard for health coverage according to the Affordable
Care Act.
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