Required Notices

The Employer CHIP Notice

COBRA Election Notice

Offers COBRA eligible members the opportunity to enroll.

The Exchange Notice FSLA

This form is for anyone that is thinking about moving to a Marketplace Exchange insurance plan.
This document describes the employee's and any dependent's right to enroll in the plan at a later date if they lose eligibility for Medicaid or CHIP or become eligible for state premium assistance.

The Women’s Health and Cancer Rights Act (WHCRA)

The document informs participants of their right to certain benefits following a mastectomy.

The Medicare Part D Disclosure Notice (Creditable Coverage)

Notifies eligible individual participants as to whether the plan's prescription drug coverage is creditable compared to Medicare Part D prescription drug coverage

The USERRA Private Notice

USERRA Protects the job rights of individuals who voluntarily or involuntarily leave employment positions to undertake military service or certain types of service in the National Disaster Medical System