Page 159 - 2021 Miami Marlins Front Office Benefits Guide

2021 Benefit Notices for Open Enrollment and New Hires

The following list provides an overview of the key required health benefit

notices for the 2021 Calendar Year in order to satisfy the Miami Marlins
distribution obligations under federal law. The actual copy of each required
health benefits notice is contained in this document.

1. 2021 Children’s Health Insurance Program (CHIP)

2. 2021 Marketplace Exchange Notice

3. 2021 Women’s Health & Cancer Rights Act (WCHRA) Enrollment Notice

4. 2021 Newborn’s and Mother’s Health Protection Act Notice

5. 2021 HIPAA Privacy & Notice of Special Enrollment Rights

6. 2021 Medicare Part D Certificate of Creditable Coverage Notice

7. 2021 Medicare Part D Certificate of Non-Creditable Coverage Notice

8. 2021 Summary of Benefits and Coverage (SBC) Notices:
• 90/70 PPO Benefit Option
• 80/60 HDHP with HSA Benefit Option
• 70/50 PPO MLB Value Plan Benefit Option

Preparation Date: 12/02/2020