Page 19 - Ria Benefits Guide 2020 FINAL National
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ANNUAL                                                      ACA


                        NOTICES




         Ria plans are partially arranged by Ria and governed by it’s plan rules   The Affordable Care Act (ACA)’s penalty for not
         and documents. ERISA and various other state and federal laws require   having health coverage (known as the individual
         that employers provide disclosure and annual notices to their plan   mandate) has been eliminated.  However, if you are a
         participants. Ria distributes annual notices to new-hires, and each year   taxpayer in California, Massachusetts, New Jersey,
         during open enrollment. You may also request a copy by contacting   Vermont or the District of Columbia, you will be
         Benefits Department, or download a copy from iSolved.           required to have health coverage (unless you qualify
                                                                         for an exemption) or pay a penalty for the 2020 tax
         The following are a list of Annual Notices:                     year – these states have an individual mandate
                                                                         requirement.
         Medicare Part D Notice of Creditable Coverage: Plans are required
         to provide each covered participant and dependent a Certificate of   You may consider these options below to satisfy this
         Creditable Coverage to qualify for enrollment in Medicare Part D   requirement:
         prescription drug coverage when qualified without a penalty.    •   Enroll in a medical plan offered by Ria or
                                                                             another group medical plan meeting the
         HIPAA Notice of Privacy Practices: This notice is intended to inform   requirements for minimum essential coverage;
         employees of the privacy practices followed by Ria’s group health plan.   •   Purchase coverage through a health insurance
         It also explains the federal privacy rights afforded to you and the   marketplace;
         members of your family as plan participants covered under a group
         plan.                                                           •   Enroll in coverage through a government-
                                                                             sponsored program if eligible.
         Women's Health and Cancer Rights Act (WHCRA): This act contains
         important protections for breast cancer patients who choose breast   If you choose to purchase coverage through the
         reconstruction with a mastectomy.                               marketplace, because Ria’s medical plans are
                                                                         considered affordable and meet minimum value
         Newborns’ and Mothers’ Health Protection Act: This act affects the   under the Affordable Care Act, you may not be
         amount of time a mother and her newborn child are covered for a   eligible for a subsidy, and you may not see lower
         hospital stay following childbirth.                             premiums or out-of-pocket costs through the
                                                                         marketplace. In addition, employer contributions to
         Special Enrollment Rights: Plan participants are entitled to certain   your medical benefits will be lost, and your portion
         special enrollment rights outside of Ria’s open enrollment period. This   of medical premiums will no longer be paid via
         notice provides information on special enrollment periods for loss of   payroll deductions on a pre-tax basis.
         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              MORE INFO:
         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.                                           Visit www.healthcare.gov.

         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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