Page 21 - FSSI EE Guide 07-20 - CA
P. 21

The Affordable Care Act (ACA)’s penalty for not
                                                                         having health coverage (known as the
                                                                         individual mandate) has been
                                                                         eliminated.  However, if you are a taxpayer in

         FSSI plans are partially arranged by FSSI and governed by its   California, Massachusetts, New Jersey,
                                                                         Vermont or the District of Columbia, you will
         plan rules and documents. Various state and federal laws
         require that employers provide disclosure and annual            be required to have health coverage (unless
         notices to their plan participants. FSSI distributes annual     you qualify for an exemption) or pay a penalty
         notices to new-hires and each year during open enrollment.      for the 2020 tax year – these states have an
                                                                         individual mandate requirement.
         You may also request a copy by contacting the Human
         Resources Department or logging into http://fssi.bswift.com.      You may consider these options below to
                                                                         satisfy this requirement:
         The following are a list of Annual Notices:                     •   Enroll in a medical plan offered by FSSI or
         •   Medicare Part D Notice of Creditable Coverage: Plans           another group medical plan meeting the
            are required to provide each covered participant and            requirements for minimum essential
            dependent a Certificate of Creditable Coverage to qualify       coverage;
            for enrollment in Medicare Part D prescription drug          •   Purchase coverage through a health
            coverage when qualified without a penalty.                      insurance marketplace;
         •   HIPAA Notice of Privacy Practices: This notice is           •   Enroll in coverage through a government-
            intended to inform employees of the privacy practices           sponsored program if eligible.
            followed by FSSI’s group health plan. It also explains the
            federal privacy rights afforded to you and the members       If you choose to purchase coverage through
            of your family as plan participants covered under a          the marketplace, because FSSI’s medical plans
            group plan.                                                  are considered affordable and meet minimum
         •   Women's Health and Cancer Rights Act (WHCRA): This          value under the Affordable Care Act, you may
            act contains important protections for breast cancer         not be eligible for a subsidy, and you may not
            patients who choose breast reconstruction with a             see lower premiums or out-of-pocket costs
            mastectomy.                                                  through the marketplace. In addition,
         •   Newborns’ and Mothers’ Health Protection Act: This          employer contributions to your medical
            act affects the amount of time a mother and her              benefits will be lost, and your portion of
            newborn child are covered for a hospital stay following      medical premiums will no longer be paid via
            childbirth.                                                  payroll deductions on a pre-tax basis.
         •   Special Enrollment Rights: Plan participants are
            entitled to certain special enrollment rights outside of
            FSSI’s open enrollment period. This notice provides
            information on special enrollment periods for loss of
            prior coverage or the addition of a new dependent.
         •   Medicaid & Children’s Health Insurance Program:                           For More Information
            Some states offer premium assistance programs for                           Go to www.healthcare.gov.
            those who are eligible for health coverage from their
            employers, but are unable to afford the premiums. This
            notice provides information on how to determine if your
            state offers a premium assistance program.
         •   Summary of Benefits and Coverage (SBC): Health
            insurance issuers and group health plans are required to
            provide you with an easy-to-understand summary about
            your health plan’s benefits and coverage.
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