Open Enrollment: Disclosure Notices
- Creditable Drug Coverage Notice
- Notice of COBRA Continuation Coverage Rights
- Notice of Health Information Practices
- Health Exchange Notice
- Blue Cross/Blue Shield HIPAA Privacy Notice
- Medicaid and the Children's Health Insurance Program Notice
- Summary of Benefits and Coverages 2014
Other Health Notices
Notice of Group Health Plan Special Enrollment Rights
If you are declining enrollment for health plan benefits for yourself or your dependents (including your spouse) because of other health insurance or group health plan coverage, you may in the future be able to enroll yourself and your dependents in this plan if you or your dependents lose eligibility for that other coverage (or if the employer stops contributing towards your or your dependents’ other coverage). However, you must request enrollment within 30 days after your or your dependents’ other coverage ends (or after the employer stops contributing toward the other coverage).
In addition, if you have a new dependent as a result of marriage, birth, adoption, or placement for adoption, you may be able to enroll yourself and your dependents. However, you must request enrollment within 30 days after the marriage, birth, adoption, or placement for adoption.
To request special enrollment or obtain more information, contact UAH Employee Benefits at 256.824.6640.
Women’s Health and Cancer Rights Act
Did you know that your plan, as required by the Women’s Health and Cancer Rights Act of 1998, provides benefits for mastectomy-related services including all stages of reconstruction and surgery to achieve symmetry between the breasts, prostheses, and complications resulting from a mastectomy (including lymphedema)? Call your Plan Administrator at 256.824.6640 for more information.
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