Page 21 - FSSI EE Guide 07-19 - flip

The Affordable Care Act (ACA) requires
applicable large employers to make
affordable coverage available to their
employees or risk paying a penalty. Although

FSSI plans are partially arranged by FSSI and governed by its the individual mandate is no longer effective
beginning January 1, 2019, it is important
plan rules and documents. Various state and federal laws
require that employers provide disclosure and annual that you understand your options for health
notices to their plan participants. FSSI distributes annual insurance coverage. You may consider these
notices to new-hires and each year during open enrollment. options below:
You may also request a copy by contacting the Human • Enroll in a medical plan offered by FSSI or
Resources Department or logging into http://fssi.bswift.com. another group plan
• Purchase coverage through a health
The following are a list of Annual Notices: insurance marketplace
• Medicare Part D Notice of Creditable Coverage: Plans • Enroll in coverage through a government
are required to provide each covered participant and -sponsored program if eligible
dependent a Certificate of Creditable Coverage to qualify
for enrollment in Medicare Part D prescription drug Because FSSI’s medical plans are considered
coverage when qualified without a penalty. affordable and meet minimum value under
the Affordable Care Act, you will not
• HIPAA Notice of Privacy Practices: This notice is generally see lower premiums or out-of-
intended to inform employees of the privacy practices pocket costs through the marketplace. In
followed by FSSI’s group health plan. It also explains the addition, employer contributions to your
federal privacy rights afforded to you and the members medical benefits will be lost if you choose to
of your family as plan participants covered under a purchase coverage through the marketplace,
group plan. and your portion of medical premiums will
• Women's Health and Cancer Rights Act (WHCRA): This no longer be paid via payroll deductions on a
act contains important protections for breast cancer pre-tax basis.
patients who choose breast reconstruction with a
mastectomy.
• Newborns’ and Mothers’ Health Protection Act: This
act affects the amount of time a mother and her
newborn child are covered for a hospital stay following For More Information
childbirth.
• Special Enrollment Rights: Plan participants are Go to www.healthcare.gov.
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:
Some states offer premium assistance programs for
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.