Page 50 - USX Driver Handbook

U.S. XPRESS, INC. DRIVER HANDBOOK U.S. XPRESS, INC. DRIVER HANDBOOK

reduce the 12-month (or 18-month) exclusion period by your creditable
coverage, you should give us a copy of any certificates of creditable
coverage you have. If you do not have a certificate, but you do have prior
health coverage, we will help you obtain one from your prior plan or issuer.
There are also other ways that you can show you have creditable coverage.
Please contact us if you need help demonstrating creditable coverage.
Notice of Availability the U.S. Xpress Enterprises, Inc. Employee
Benefit Plan Notice of Privacy Practices –

THIS NOTICE DESCRIBES HOW YOU MAY OBTAIN A COPY
OF THE PLAN’S NOTICE OF PRIVACY PRACTICES, WHICH
DESCRIBES THE WAYS THAT THE PLAN USES AND
DISCLOSES YOUR PROTECTED HEALTH INFORMATION.

The U.S. Xpress Enterprises, Inc. Employee Benefit Plan (the
“Plan”) provides health benefits to eligible employees of U.S. Xpress
Enterprises, Inc. (the “Company) and their eligible dependents as
described in the summary plan description(s) for the Plan. The Plan
creates, receives, uses, maintains and discloses health information about
participating employees and dependents in the course of providing
these health benefits. The Plan is required by law to provide notice to
participants of the Plan’s duties and privacy practices with respect to
covered individuals’ protected health information, and has done so by
providing to Plan participants a Notice of Privacy Practices, which
describes the ways that the Plan uses and discloses PHI.
To receive a copy of the Plan’s Notice of Privacy Practices you
should contact the plan administrator, who has been designated as the
Plan’s contact person for all issues regarding the Plan’s privacy practices
and covered individuals’ privacy rights.
Women’s Health and Cancer Rights Act

Special Rights Following Mastectomy. A group health plan generally
must, under federal law, make certain benefits available to participants
who have undergone a mastectomy. In particular, a plan must offer
mastectomy patients benefits for:
• Reconstruction of the breast on which the mastectomy has been
performed;
• Surgery and reconstruction of the other breast to produce a
symmetrical appearance;
• Prostheses; and
• Treatment of physical complications of mastectomy.

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