Page 19 - Ria Benefits Guide 2020 FINAL Texas

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.

RIA EMPLOYEE BENEFITS 2020 19