Page 30 - Venafi - 2021 Benefit Guide - CA

general participation guidelines and notices

Your rights regarding your medical information Patient Protection and Affordable Care Drug Plan or join a Medicare Advantage Plan (like
You have the right to inspect and copy your medical Act (ACA) an HMO or PPO) that offers prescription drug
information, request corrections of your medical coverage. All Medicare drug plans provide at least
information and to obtain an accounting of your medical Pursuant to the Patient Protection and Affordable Care a standard level of coverage set by Medicare. Some
information. You also have the right to request that Act (ACA) and its applicable regulations, Venafi offers plans may also offer more coverage for a higher
additional restrictions or limitations be placed on the eligible employees affordable, minimum essential monthly premium.
use or disclosure of your medical information, or that health care coverage that meets minimum value. • Venafi has determined that the prescription drug
communication about your medical information be This guide and the enrollment forms are your offer of coverage offered by the Venafi Benefit Plan is, on
made in different ways or at different locations. coverage. If you decline or waive this coverage, you
may be prevented from qualifying for a premium tax average for all plan participants, expected to pay
Michelle’s Law credit or cost share reduction subsidy for coverage you out as much as standard Medicare prescription
may purchase for yourself or your dependents on the drug coverage pays and is therefore considered
A new federal law allows continued coverage for health insurance marketplace/exchange applicable to Creditable Coverage. Because your existing
seriously ill college students. A college student will be your state of residence, which may be the federal health coverage is Creditable Coverage, you can keep this
able to maintain health care eligibility for up to one year insurance marketplace/exchange. coverage and not pay a higher premium (a penalty)
after full-time student status is lost due to medically if you later decide to join a Medicare drug plan.
necessary leave of absence from school. Medicare Part D creditable coverage
Genetic Information Nondiscrimination notice When can you join a medicare drug plan?
You can join a Medicare drug plan when you first
Act (GINA) Important notice from Venafi about your prescription become eligible for Medicare and each year from
drug coverage and medicare
Under this federal law, group health plans are prohibited Please read this notice carefully and keep it where October 15th to December 7th.
from adjusting premiums or contribution amounts for you can find it. This notice has information about your However, if you lose your current creditable prescription
a group based on genetic information. A health plan current prescription drug coverage with Venafi and drug coverage, through no fault of your own, you will
is also prohibited from requiring an individual or his/ about your options under Medicare’s prescription drug also be eligible for a two (2) month Special Enrollment
her family member to undergo a genetic test, although coverage. This information can help you decide whether Period (SEP) to join a Medicare drug plan.
the plan may require that a voluntary test be taken for or not you want to join a Medicare drug plan. If you are
research purposes. These are only summaries. Full
considering joining, you should compare your current statements are available from Human
Mandatory insurer reporting law coverage, including which drugs are covered at what Resources.
cost, with the coverage and costs of the plans offering
This law took effect 1/1/2009 and is part of the Medicare, Medicare prescription drug coverage in your area.
Medicaid, and SCHIP Extension Act of 2007 (MMSEA). Information about where you can get help to make
Under this federal law, providers of group health decisions about your prescription drug coverage is at the
plans are required to report certain information to the end of this notice.
Secretary of Health and Human Services to determine
Medicare entitlement. As such, employees are required There are two important things you need to know about
to provide social security numbers for all dependents your current coverage and Medicare’s prescription drug
enrolled in the medical plan. You will be asked to enter coverage:
social security numbers for all dependents you cover on • Medicare prescription drug coverage became
your medical plan. available in 2006 to everyone with Medicare. You can
get this coverage if you join a Medicare Prescription
27
27