Page 24 - Technip Energies 2022 benefits guide
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2022 Employee Benefits




        Required Notices






                                                                Newborns’ and Mothers’ Health Protection Act
           Company Name (the “Company”)                         Group health plans and health insurance issuers generally
           Technip Energies                                     may not, under Federal law, restrict benefits for any
           Effective Date                                       hospital length of stay in connection with childbirth for the
           January 1, 2022                                      mother or newborn child to less than 48 hours following
                                                                a vaginal delivery, or less than 96 hours following a
           Creditable Plan Name(s)                              caesarean section. However, Federal law generally does
           Medical Prime Plus Plan, Medical Prime Plan          not prohibit the mother’s or newborn’s attending provider,
           Plan Administrator:                                  after consulting with the mother, from discharging the
           Jessica Wheeler                                      mother or her newborn earlier than 48 hours (or 96
           11720 Katy Freeway, Suite 100                        hours as applicable). In any case, plans and issuers may
           Houston, Texas 77079                                 not, under Federal law, require that a provider obtain
           Telephone: 281-870-1111                              authorization from the plan or the insurance issuer for
                                                                prescribing a length of stay not in excess of 48 hours
           HIPAA Privacy Official                               (or 96 hours).
           Jessica Wheeler
           US Benefits                                          The Consolidated Omnibus Budget
           Telephone: 281-870-1111
                                                                Reconciliation Act of 1986 (COBRA)
           HIPAA Special Enrollment Deadline                    COBRA continuation coverage is a continuation of
           31 days                                              coverage when it would otherwise end because of a life

           Members of Organized Health Care Arrangement         event. This is also called a “qualifying event.” After a
           BlueCross BlueShield of Texas, CVS Caremark,         qualifying event, COBRA continuation coverage must be
           Fidelity Investments, HealthEquity, MetLife, VSP,    offered to each person who is a “qualified beneficiary.”
           Lincoln Financial Group, Vitality, Optum, AXA,       Qualified beneficiaries may elect to continue their
           Zurich, and Willis Towers Watson                     coverage under the plan for a prescribed period of time
                                                                on a self-pay basis. Each qualified beneficiary has 60
                                                                days to choose whether or not to elect COBRA coverage,
        Women’s Health and Cancer Rights Notice                 beginning from the later of the date the election notice is
        (WHCRA)                                                 provided, or the date on which the qualified beneficiary
        If you have had or are going to have a mastectomy, you   would otherwise lose coverage under the Plan due to a
        may be entitled to certain benefits under the Women’s   qualifying event. To learn more about COBRA and your
        Health and Cancer Rights Act of 1998 (WHCRA). For       rights under COBRA, please refer to your Summary
        individuals receiving mastectomy-related benefits, coverage   Plan Description
        will be provided in a manner determined in consultation with
        the attending physician and the patient, for:
                                                                GINA Warning Against Providing Genetic
        •  All stages of reconstruction of the breast on which the
          mastectomy was performed;                             Information
        •  Surgery and reconstruction of the other breast to    The Genetic Information Nondiscrimination Act
          produce a symmetrical appearance;                     (GINA) prohibits collection of genetic information by
                                                                both employers and health plans and defines genetic
        •  Prostheses; and                                      information very broadly. Asking an individual to provide
        •  Treatment of physical complications of the mastectomy,   family medical history is considered collection of genetic
                                                                information, even if there is no reward for responding
          including lymphedemas.
                                                                (or penalty for failure to respond). In addition, a question
        These benefits will be provided subject to the same     about an individual’s current health status is considered
        deductibles and coinsurance applicable to other medical   to be a request for genetic information if it is made in a
        and surgical benefits provided under this plan. If you would   way likely to result in obtaining genetic information (e.g.,
        like more information on WHCRA benefits, contact your   family medical history). Wellness programs that require
        plan administrator.                                     completion of health risk assessments or other forms


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