Page 12 - Luminex 2020 BLUE Triangles 12pg Guide w_Notices Final

IMPORTANT

NOTICES

ABOUT THIS GUIDE NEWBORNS’ AND MOTHERS’
HEALTH PROTECTION ACT
This guide highlights your benefits. Official plan and insurance documents
govern your rights and benefits under each plan. For more details about your DISCLOSURE
benefits, including covered expenses, exclusions, and limitations, please
refer to the individual summary plan descriptions (SPDs), plan document, or Group health plans and health insurance issuers generally may not, under
certificate of coverage for each plan. If any discrepancy exists between this Federal law, restrict benefits for any hospital length of stay in connection
guide and the official documents, the official documents will prevail. Luminex with childbirth for the mother or newborn child to less than 48 hours
Home Decor & Fragrance reserves the right to make changes at any time to following a vaginal delivery, or less than 96 hours following a cesarean
the benefits, costs, and other provisions relative to benefits. section. However, Federal law generally does not prohibit the mother’s
or newborn’s attending provider, after consulting with the mother, from
REMINDER OF AVAILABILITY OF discharging the mother or her newborn earlier than 48 hours (or 96 hours
as applicable). In any case, plans and issuers may not, under Federal law,
PRIVACY NOTICE require that a provider obtain authorization from the plan or the issuer for
prescribing a length of stay not in excess of 48 hours (or 96 hours).
This is to remind plan participants and beneficiaries of the Luminex Home
Decor & Fragrance Health and Welfare Plan (the “Plan”) that the Plan has USERRA
issued a Health Plan Privacy Notice that describes how the Plan uses and
disclosed protected health information (PHI). You can obtain a copy of the
Luminex Home Decor & Fragrance Health and Welfare Plan Privacy Notice Your right to continued participation in the Plan during leaves of absence
upon your written request to the Human Resources Department, at the for active military duty is protected by the Uniformed Services Employment
following address: and Reemployment Rights Act (USERRA). Accordingly, if you are absent from
work due to a period of active duty in the military for less than 31 days, your
Luminex Home Decor & Fragrance, Human Resources Plan participation will not be interrupted and you will continue to pay the
10521 Millington Court, Suite B same amount as if you were not absent. If the absence is for more than 31
Cincinnati, OH 45242 days and not more than 12 weeks 24 months, you may continue to maintain
your coverage under the Plan by paying up to 102% of the full amount of
If you have any questions, please contact the Luminex Home Decor & premiums. You and your dependents may also have the opportunity to elect
Fragrance Human Resources Office at 513-956-2226. COBRA coverage. Contact Luminex’s Human Resources office at
513-956-2226 for more information.
WOMEN’S HEALTH AND CANCER Also, if you elect not to continue your health plan coverage during your
RIGHTS ACT military service, you have the right to be reinstated in the Plan upon
your return to work, generally without any waiting periods or pre-existing
condition exclusions, except for service connected illnesses or injuries, as
Federal law requires a group health plan to provide coverage for the applicable.
following services to an individual receiving plan benefits in connection with
a mastectomy:
• Reconstruction of the breast on which the mastectomy has been
performed;
• Surgery and reconstruction of the other breast to produce a symmetrical
appearance; and
This guide contains information
• Prostheses and physical complications for all stages of a mastectomy,
including lymphedema (swelling associated with the removal of lymph about the creditable status of the Rx
nodes).
coverage.
The group health plan must determine the manner of coverage in
consultation with the attending physician and patient. Coverage for breast
reconstruction and related services will be subject to deductibles and
coinsurance amounts that are consistent with those that apply to other
benefits under the plan. If you would like information on WHCRA benefits,
call your plan administrator at 513-956-2226.
Please note: Notices on Medicare
Part D coverage appears later in this
document.

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