Page 34 - 2020 McLennan County Benefits Enrollment Guide

To take advantage of special enrollment rights, you must experience a qualifying event and provide the employer plan
with timely notice of the event and your enrollment request.

To request special enrollment or obtain more information, contact the Human Resource Team at
th
human.resources@co.mclennan.tx.us or 214 N. 4 Street, Suite 200, Waco, Texas 76701; or by calling (254)-757-5158.

Uniformed Services Employment and Re-Employment Rights Act of 1994 (USERRA)
The Uniformed Services Employment and Re-employment Rights Act of 1994 (USERRA) sets requirements for
continuation of health coverage and re-employment in regard to a Covered Employee’s military leave of absence. These
requirements apply to medical and dental coverage for the Employee and his or her Dependents.

For leaves of less than 31 days, coverage will continue for the duration of such leave. For leaves of 31 days or more, the
Employee may continue Employee and Dependent coverage by paying the required contribution to the Employer, until
the earliest of the following: 24 months from the last day of employment with the Employer; the day after the Employee
fails to return to work; or the date the Plan is canceled. The Employer may charge the Employee and his or her
Dependents up to 102% of the total coverage cost.

If coverage ends during the leave of absence because the Employee does not elect USERRA and the Employee is
reemployed by the Employer, coverage for the Employee and his or her Dependents may be reinstated if: (a) the
Employee gave the Employer advance written or verbal notice of his or her military service leave; and (b) the duration of
all military leaves while the Employee is employed with the Employer does not exceed 5 years. The Employee and his or
her Dependents will be subject to only the balance of any waiting period that was not yet satisfied before the leave
began. If coverage under this Plan terminates as a result of the Employee’s eligibility for military medical and dental
coverage and the Employee’s order to active duty is canceled before active duty service commences, these
reinstatement rights will apply.

Newborn’s and Mothers’ Disclosure Notice

MATERNITY BENEFITS

Under Federal and state law you have certain rights and protections regarding your Maternity benefits under the Plan.

Under federal law known as the “Newborns’ and Mothers’ Health Protection Act of 1996” (Newborns’ Act) group
health plans and health insurance issuers generally may not restrict benefits for any hospital length of stay in connection
with childbirth for the mother or newborn child to less than 48 hours following a vaginal delivery, or less than 96 hours
following a cesarean section. However, federal law generally does not prohibit
the mother’s or newborn’s attending provider, after consulting with the mother, from discharging the mother or her
newborn earlier than 48 hours (or 96 hours as 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 not in excess of
48 hours (or 96 hours).

Under Texas law, if your Plan provides benefits for obstetrical services your benefits will include coverage for
postpartum services. Coverage will include benefits for inpatient care and a home visit or visits, which shall be in
accordance with the medical criteria, outlined in the most current version of or an official update to the "Guidelines for
Perinatal Care" prepared by the American Academy of Pediatrics and the American College of Obstetricians and
Gynecologists or the "Standards for Obstetric-Gynecologic Services" prepared by the American College of Obstetricians
and Gynecologists. Coverage for obstetrical services as an inpatient in a general Hospital or obstetrical services by a

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