Page 31 - 2018 SLU New Hire Guide
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St. Louis University
HIPAA Special Enrollment Rights Employees enrolled in the medical
The following special enrollment provisions apply under the beneit plans of the Saint plan who choose to participate in the
wellness program will receive a premium
Louis University Welfare Beneit Plan (the “Plan”). discount. Although you are not required
X If you decline enrollment for yourself or for an eligible dependent (including your to complete the HRA or participate in the
spouse) while other health insurance or group health plan coverage is in effect, biometric screening, only employees who
you may be able to enroll yourself and your dependents in the Plan if you or do so will receive the incentive.
your dependents lose eligibility for that other coverage (or if the employer stops
contributing toward your or your dependents’ other coverage). However, you must If you are unable to participate in any of
request enrollment within 31 days after your or your dependents’ other coverage the health-related activities or achieve
ends (or after the employer stops contributing toward the other coverage). any of the health outcomes required to
earn an incentive, you may be entitled
X If you decline enrollment for yourself or for an eligible dependent (including to a reasonable accommodation or an
your spouse) while Medicaid coverage or coverage under a state children’s alternative standard. You may request
health insurance program is in effect, you may be able to enroll yourself and a reasonable accommodation or an
your dependents in the Plan if you or your dependents lose eligibility for that alternative standard by contacting
other coverage. However, you must request enrollment within 60 days after your Vitality Customer Care at 877.224.7117
or your dependents’ coverage ends under Medicaid or a state children’s health or wellness@powerofvitality.com.
insurance program.
X If you have a new dependent as a result of marriage, birth, adoption, or The information from your HRA and the
placement for adoption, you may be able to enroll yourself and your new results from your biometric screening will
dependents. However, you must request enrollment within 31 days after the be used to provide you with information
marriage, birth, adoption, or placement for adoption. to help you understand your current
health and potential risks, and may also
X If you or your dependents (including your spouse) become eligible for a state be used to offer you services through
premium assistance subsidy from Medicaid or through a state children’s health the wellness program. You also are
insurance program with respect to coverage under the Plan, you may be able encouraged to share your results or
to enroll yourself and your dependents in the Plan. However, you must request concerns with your own doctor.
enrollment within 60 days after your or your dependents’ determination of
eligibility for such assistance. To request special enrollment or obtain more
information about the special enrollment provisions of the Plan, contact Beneits
at 314.977.2595.
Wellness Program Notice
The Saint Louis University wellness program is a voluntary wellness program provided
by Vitality and is available to all employees and spouses. The program is administered
according to federal rules permitting employer-sponsored wellness programs which
seek to improve employee health or prevent disease, including the Americans with
Disabilities Act of 1990, the Genetic Information Nondiscrimination Act of 2008, and
the Health Insurance Portability and Accountability Act, as applicable, among others.
If you choose to participate in the wellness program you will be asked to complete a
voluntary health risk assessment or “HRA” (Vitality Health Review) which asks a series
of questions about your health-related activities and behaviors and whether you have
or had certain medical conditions (e.g., cancer, diabetes, or heart disease). You will
also be asked to complete a biometric screening (Vitality Check), which will include
a blood test. You are not required to complete the HRA or to participate in the blood
test or other medical examinations.
31
HIPAA Special Enrollment Rights Employees enrolled in the medical
The following special enrollment provisions apply under the beneit plans of the Saint plan who choose to participate in the
wellness program will receive a premium
Louis University Welfare Beneit Plan (the “Plan”). discount. Although you are not required
X If you decline enrollment for yourself or for an eligible dependent (including your to complete the HRA or participate in the
spouse) while other health insurance or group health plan coverage is in effect, biometric screening, only employees who
you may be able to enroll yourself and your dependents in the Plan if you or do so will receive the incentive.
your dependents lose eligibility for that other coverage (or if the employer stops
contributing toward your or your dependents’ other coverage). However, you must If you are unable to participate in any of
request enrollment within 31 days after your or your dependents’ other coverage the health-related activities or achieve
ends (or after the employer stops contributing toward the other coverage). any of the health outcomes required to
earn an incentive, you may be entitled
X If you decline enrollment for yourself or for an eligible dependent (including to a reasonable accommodation or an
your spouse) while Medicaid coverage or coverage under a state children’s alternative standard. You may request
health insurance program is in effect, you may be able to enroll yourself and a reasonable accommodation or an
your dependents in the Plan if you or your dependents lose eligibility for that alternative standard by contacting
other coverage. However, you must request enrollment within 60 days after your Vitality Customer Care at 877.224.7117
or your dependents’ coverage ends under Medicaid or a state children’s health or wellness@powerofvitality.com.
insurance program.
X If you have a new dependent as a result of marriage, birth, adoption, or The information from your HRA and the
placement for adoption, you may be able to enroll yourself and your new results from your biometric screening will
dependents. However, you must request enrollment within 31 days after the be used to provide you with information
marriage, birth, adoption, or placement for adoption. to help you understand your current
health and potential risks, and may also
X If you or your dependents (including your spouse) become eligible for a state be used to offer you services through
premium assistance subsidy from Medicaid or through a state children’s health the wellness program. You also are
insurance program with respect to coverage under the Plan, you may be able encouraged to share your results or
to enroll yourself and your dependents in the Plan. However, you must request concerns with your own doctor.
enrollment within 60 days after your or your dependents’ determination of
eligibility for such assistance. To request special enrollment or obtain more
information about the special enrollment provisions of the Plan, contact Beneits
at 314.977.2595.
Wellness Program Notice
The Saint Louis University wellness program is a voluntary wellness program provided
by Vitality and is available to all employees and spouses. The program is administered
according to federal rules permitting employer-sponsored wellness programs which
seek to improve employee health or prevent disease, including the Americans with
Disabilities Act of 1990, the Genetic Information Nondiscrimination Act of 2008, and
the Health Insurance Portability and Accountability Act, as applicable, among others.
If you choose to participate in the wellness program you will be asked to complete a
voluntary health risk assessment or “HRA” (Vitality Health Review) which asks a series
of questions about your health-related activities and behaviors and whether you have
or had certain medical conditions (e.g., cancer, diabetes, or heart disease). You will
also be asked to complete a biometric screening (Vitality Check), which will include
a blood test. You are not required to complete the HRA or to participate in the blood
test or other medical examinations.
31
