Page 17 - Enrollment Guide 2023-24

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Required Notices

Summary of Benefits and Coverage Required Notices

As an employee, the group health (medical) benefits
available to you represent a significant component
of your compensation package. The medical benefits
also provide important protection for you and your
family in the case of illness or injury. Choosing a Special Enrollment
health coverage option is an important decision. To
help you make an informed choice, SchoolCare If you are declining enrollment for yourself or your
makes available a Summary of Benefits and Coverage dependents (including your spouse) because of other
(SBC) which summarizes important information about health insurance or group health plan coverage, you
any health coverage option in a standard format to may be able to enroll yourself and your dependents
help you compare across options. The SBC is available in this plan if you or your dependents lose eligibility
at schoolcare.org/resources-documents. A paper copy for that other coverage (or if the employer stops
is also available, free of charge, by calling your Human contributing toward your or your dependents’ other
Resources Office. Please note the Subscriber is coverage). However, you must request enrollment
responsible for providing a copy to their dependents within 30 days after your or your dependents’
covered under the group health plan. other coverage ends (or after the employer stops
contributing toward the other coverage).
Special Provisions for Employers with
Section 125 Plans 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,
By allowing an individual to enroll in the Insurance you must request enrollment within 30 days after the
Plan other than during the open enrollment period, marriage, birth, adoption, or placement for adoption.
SchoolCare, Cigna Healthcare or Cigna Health and
Life Insurance Company do not waive any terms of its To request special enrollment or obtain more
contracts. Further, by allowing an individual to enroll information, please contact your Human Resources
in the Insurance Plan other than during the open Office or SchoolCare at 603-836-5031.
enrollment period, SchoolCare, Cigna Healthcare
or Cigna Health and Life Insurance Company do
not thereby express any opinion regarding the Wellness Programs
appropriateness of the change under Section 125
of the Internal Revenue Code or the terms of the Your health plan is committed to helping you achieve
employer's Section 125 plan. your best health. Incentives for participating in a
wellness program are available to all Subscribers. If

No Surprise Medical Bills you are unable to participate in any of the health-
related activities to earn an incentive, you may
be entitled to a reasonable accommodation or an
Federal law now provides special rights and alternative standard. You may request a reasonable
protections against surprise bills and balance billing. accommodation or an alternative standard by
Effective January 1, 2022, this law provides protection contacting SchoolCare’s health management
from unexpected bills from out-of-network providers provider, Cigna at 800-244-6224.
seen during an emergency or as part of a visit at an in-
network hospital or ambulatory surgical center. View the complete notice and learn more about your
Read more here. Protection of the Disclosure of Medical Information.