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PLAN COST AND NOTICES
Notices
Summary of Benefits and Coverage (SBC)
A Summary of Benefits and Coverage is a legally required document that
provides clear, consistent and comparable information about each of the
medical plans available to EFH employees. You can find a Summary of Benefits
and Coverage for each EFH medical plan in the HR Services Knowledge Base.
(Under the MyHR tab on Connect, click on HR Services and log in.)
HIPAA Notice of Special Enrollment Rights
If you are declining enrollment for yourself or your dependents because of other
health insurance coverage, you may in the future be able to enroll yourself or
your dependents in the EFH plan, if you or your dependents lose eligibility for
that other coverage (or if the employer stops contributing toward your or your
dependents’ other coverage provided that you request enrollment within 30
days after your other coverage ends (or after the employer stops contributing
toward the other coverage). In addition, if you have a new dependent as a result
of marriage, birth, adoption or placement for adoption, you may be able to enroll
yourself and your dependents, provided you request enrollment within30 days
after the marriage, or 60 days for birth, adoption or placement for adoption. To
request special enrollment or obtain more information, email
HRHelp@energyfutureholdings.com.
HIPAA Privacy Notice
Federal regulations restrict the use and sharing of confidential health
information that can be directly linked to you individually. Under penalty of
law, certain protected health information, as outlined in the Health Insurance
Portability and Accountability Act (HIPAA), cannot be used or disclosed
without your specific authorization. This notice is to remind you that our Notice
of Privacy Practices is available for your review at any time. You can find the
Notice posted in the Benefits Handbook in the HR Services Knowledge Base.
Under the MyHR tab on Connect, click on HR Services and log in.
Newborn & Mothers Health Protection Notice
For maternity hospital stays, in accordance with federal law, the Plan does not
restrict benefits, for any hospital length of stay in connection with childbirth for
the mother or newborn child, to less than 48 hours following a vaginal delivery
or less than 96 hours following a Cesarean delivery.
However, federal law generally does not prevent the mother’s or newborn’s
attending care provider, after consulting with the mother, from discharging the
mother or her newborn earlier than 48 hours (or 96 hours, as applicable). The
plan cannot require a provider to prescribe, or require that a provider obtain
authorization from the plan for prescribing, a length of stay any shorter than 48
hours (or 96 hours following a Cesarean delivery).
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