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applicable large  coverage available to their   Although the individual   will be lost if you choose to purchase   For More Information   Go to www.healthcare.gov.













                  ACA    The Affordable Care Act (ACA) requires   affordable  employees or risk paying a penalty.  mandate is no longer effective beginning January 1, 2019, it is  important that you understand your options for health insurance  coverage. You may consider these options below:  Enroll in a medical plan offered by Veritone or another  Purchase coverage through a health insurance marketplace  Enroll in coverage through a government-sponsored  Because Veritone’s medical p






                            employers to make   group plan   program if eligible   your medical benefits   tax basis.














                           documents. ERISA and various other state and federal laws require that employers provide
                                 required annual notices on Paycom for you to download and read at your convenience, such
                              plan participants. Veritone has posted all federally
                                      Medicare Part D Notice of Creditable Coverage: Plans are required to provide each
                        and                 and                                                      your
                 ANNUAL NOTICES
                        rules               without a    as plan participants
                                            drug coverage when qualified  covered participant  and dependent  a  Certificate of Creditable  Coverage to  qualify for   a written procedure for  HIPAA Notice of Privacy Practices: This notice is intended to inform employees of the  privacy practices followed by Veritone’ group  health plan. It also explains the federal  Women's Health and Cancer Rights Act (WHCRA): The Women's Health  and Cancer  Rights Act (WHCRA) contains important pro
                        it’s plan             individuals to request                 are entitled to certain special enrollment

                        arranged by Veritone and governed by






















                        are partially   and annual notices to their   in Medicare Part D prescription   notice also provides  receive Certificates of Creditable Coverage.  privacy rights afforded to you and the members of your family  covered under a group plan.   child are covered for a hospital stay following childbirth.  Rights: Plan participants   your state offers a premium assistance program.   you with  to provide  are required  understand and evaluate your health insurance ch






                        Veritone plans   disclosure   as:     enrollment   penalty. This         Special Enrollment         plans   22
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