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For More Information Remember: Keep this Creditable Coverage notice. If you decide to join one of the
About Your Options Under Medicare drug plans, you may be required to provide a copy of this notice when you
Medicare Prescription Drug join to show whether or not you have maintained creditable coverage and whether or
not you are required to pay a higher premium (a penalty).
Coverage
Date: January 1, 2014 Address: 50 Kennedy Plaza
More detailed information about Name of Entity/Sender: Donald Providence, RI 02903
Medicare plans that offer prescription Moseley Phone Number: 401.278.2630
drug coverage is in the “Medicare & Contact—Position/Ofice: Vice
You” handbook. You’ll get a copy of the President, Chief Human Resource
handbook in the mail every year from Oficer
Medicare. You may also be contacted
directly by Medicare drug plans. Nothing in this notice gives you or your dependents a right to coverage under the Plan.
Your (or your dependents’) right to coverage under the Plan is determined solely under
For more information about Medicare the terms of the Plan.
prescription drug coverage:
Visit www.medicare.gov Maternity and Newborn Infant Coverage
Call your State Health Insurance Group health plans and health insurance issuers generally may not, under federal
Assistance Program (see the inside
back cover of your copy of the law, restrict beneits for any hospital length of stay in connection with childbirth for
“Medicare & You” handbook for their the mother or newborn child to less than 48 hours following a vaginal delivery, or less
telephone number) for personalized than 96 hours following a caesarian section. However, federal law generally does not
help prohibit the mother’s or newborn’s attending provider, after consulting with the mother,
Call 800-MEDICARE (800.633.4227); from discharging the mother or her newborn earlier than 48 hours (or 96 hours as
TTY users should call 877.486.2048 applicable). In any case, plans and issuers may not, under federal law, require that a
provider obtain authorization from the plan or the issuer for prescribing a length of stay
If you have limited income and not in excess of 48 hours (or 96 hours).
resources, extra help paying
for Medicare prescription drug HIPAA Comprehensive Notice of Privacy Policy
coverage is available. For
information about this extra help, and Procedures
visit Social Security on the web at
www.socialsecurity.gov, or call them Important Notice—Comprehensive Notice of Privacy Policy
at 800.772.1213 (TTY 800.325.0778). and Procedures
This notice describes how medical information about you may be used and disclosed
and how you can get access to this information. Please review it carefully.
This Notice is provided to you on behalf of: Nortek Comprehensive Employee Welfare
Beneit Plan*
Nortek
For More Information Remember: Keep this Creditable Coverage notice. If you decide to join one of the
About Your Options Under Medicare drug plans, you may be required to provide a copy of this notice when you
Medicare Prescription Drug join to show whether or not you have maintained creditable coverage and whether or
not you are required to pay a higher premium (a penalty).
Coverage
Date: January 1, 2014 Address: 50 Kennedy Plaza
More detailed information about Name of Entity/Sender: Donald Providence, RI 02903
Medicare plans that offer prescription Moseley Phone Number: 401.278.2630
drug coverage is in the “Medicare & Contact—Position/Ofice: Vice
You” handbook. You’ll get a copy of the President, Chief Human Resource
handbook in the mail every year from Oficer
Medicare. You may also be contacted
directly by Medicare drug plans. Nothing in this notice gives you or your dependents a right to coverage under the Plan.
Your (or your dependents’) right to coverage under the Plan is determined solely under
For more information about Medicare the terms of the Plan.
prescription drug coverage:
Visit www.medicare.gov Maternity and Newborn Infant Coverage
Call your State Health Insurance Group health plans and health insurance issuers generally may not, under federal
Assistance Program (see the inside
back cover of your copy of the law, restrict beneits for any hospital length of stay in connection with childbirth for
“Medicare & You” handbook for their the mother or newborn child to less than 48 hours following a vaginal delivery, or less
telephone number) for personalized than 96 hours following a caesarian section. However, federal law generally does not
help prohibit the mother’s or newborn’s attending provider, after consulting with the mother,
Call 800-MEDICARE (800.633.4227); from discharging the mother or her newborn earlier than 48 hours (or 96 hours as
TTY users should call 877.486.2048 applicable). In any case, plans and issuers may not, under federal law, require that a
provider obtain authorization from the plan or the issuer for prescribing a length of stay
If you have limited income and not in excess of 48 hours (or 96 hours).
resources, extra help paying
for Medicare prescription drug HIPAA Comprehensive Notice of Privacy Policy
coverage is available. For
information about this extra help, and Procedures
visit Social Security on the web at
www.socialsecurity.gov, or call them Important Notice—Comprehensive Notice of Privacy Policy
at 800.772.1213 (TTY 800.325.0778). and Procedures
This notice describes how medical information about you may be used and disclosed
and how you can get access to this information. Please review it carefully.
This Notice is provided to you on behalf of: Nortek Comprehensive Employee Welfare
Beneit Plan*
Nortek
