Notification of Disclosures

Certificate of Coverage 

These document explains the health benefits you and your dependents have under the plan(s). It details the services that will and will not be covered. Services that are not covered are called exclusions. The actions you have to take to receive the health benefits such as paying a copay, meeting a deductible, or using particular health care providers are called conditions.

COBRA Continuation of Health Coverage

This notice has important information about your right to Consolidated Omnibus Budget Reconciliation Act (COBRA) continuation coverage, which is a temporary extension of coverage under the plan. This notice explains COBRA continuation coverage, when it may become available to you and your family, and what you need to do to protect your right to get it.

Legal Notices Affecting Your Health Plan Coverage

The Woman's Health Cancer Rights Act of 1998, Notice of Special Enrollment Rights, Statement of ERISA Rights, Medicare Creditable Coverage Notice, Premium Assistance Under Medicaid and the Children’s Health Insurance Program (CHIP), Health Insurance Marketplace; Notice of Coverage Options.

Medical Plan Document

The plan document(s) tells plan participants about the benefits they are entitled to under the medical plan and provides guidelines to be used by the plan administrator in decision-making when it comes to plan operations.

Summary of Benefits & Coverage 

Summary of each medical plan that provides comparisons of costs and coverage between health plans. Compare the options based on price, benefits, and other features that may be important to you. 

Section 125 Plan

A section 125 plan is the only means by which an employer can offer employees a choice between taxable and nontaxable benefits without the choice causing the benefits to become taxable. 

Wellness Program Information & Disclosures

This document explains how the City's wellness program works and what is required to be compliant and receive an incentive.