ACA Nondiscrimination Notice Creditable Drug Coverage Notice Notice of COBRA Continuation Coverage Rights Notice of Health Information Practices Health Care Reform Blue Cross/Blue Shield HIPAA Privacy Notice Medicaid and the Children's Health Insurance Program Notice Summary of Benefits and Coverage, 2018 HIPAA Special Enrollment Notice If you are declining enrollment for yourself or your dependents (including your spouse) because of other health insurance or group health plan coverage, you may be able to enroll yourself or 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 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. Special enrollment rights also may exist in the following circumstances: You or your dependents experience a loss of eligibility for Medicaid or state Children’s Health Insurance Program (CHIP) coverage and you request enrollment within 60 days after that coverage ends. You or your dependents become eligible for a state premium assistance subsidy through Medicaid or a CHIP with respect to coverage under this plan and you request enrollment within 60 days after the determination of eligibility for assistance. Note: The 60-day period for requesting enrollment applies only in these last two listed circumstances relating to Medicaid and state CHIPs. As described above, a 30-day period applies to most special enrollments. To request special enrollment or obtain more information, contact UAH Human Resources, Director of Benefits & Employee Services at 256-824-6545. Newborns' and Mothers' Health Protection Act Group health plans and health insurance issuers generally may not, under federal law, restrict benefits for any hospital length of stay in connection with childbirth for the mother or newborn child to less than 48 hours following a vaginal delivery, or less than 96 hours following a cesarean section. However, federal law generally does not prohibit the mother's or newborn's attending provider, after consulting with the mother, from discharging the mother or her newborn earlier than 48 hours (or 96 hours as applicable). In any case, plans and issuers may not, under federal law, require that a provider obtain authorization from the plan or the issuer for prescribing a length of stay not in excess of 48 hours (or 96 hours). Protecting Your Health Information Privacy Rights The University of Alabama in Huntsville is committed to the privacy of your health information. The administrators of the medical plans use strict privacy standards to protect your health information from unauthorized use or disclosure. The Plan's policies protecting your privacy rights and your rights under the law are described in the Plan's Notice of Privacy Practices. You may receive a copy of the Notice of Privacy Practices by contacting an Employee Benefits representative at 256.824.6640. Women's Health and Cancer Rights Act Notice The Women's Health and Cancer Rights Act of 1998 requires group health plans to provide benefits for mastectomy-related services. A participant or dependent who is receiving benefits in connection with a mastectomy will also receive coverage for: all stages of reconstruction of the breast on which the mastectomy was performed; surgery and reconstruction of the other breast to produce a symmetrical appearance; and prostheses and treatment of physical complications of the mastectomy, including lymphedema.