Page 87 - Tampa Bay Rays 2022 Flipbook

2022 Benefit Notices for Open Enrollment and New Hires

The following list provides an overview of the key required health benefit
notices for the 2022 Calendar Year in order to satisfy the Tampa Bay Ray’s
distribution obligations under federal law. The actual copy of each required
health benefits notice is contained in this document.

1. 2022 Children’s Health Insurance Program (CHIP)

2. 2022 Marketplace Exchange Notice

3. 2022 Women’s Health & Cancer Rights Act (WCHRA) Enrollment Notice

4. 2022 Newborn’s and Mother’s Health Protection Act Notice

5. 2022 HIPAA Privacy & Notice of Special Enrollment Rights

6. 2022 Medicare Part D Certificate of Creditable Coverage Notice

7. 2022 Medicare Part D Certificate of Non-Creditable Coverage Notice

8. 2022 Summary of Benefits and Coverage (SBC) Notices:
• 100/80 PPO Benefit Option
• 80/60 PPO Benefit Option
• 70/50 PPO Benefit Option

Preparation Date: 11/10/2021