Annual DOL Packet

The attached Department of Labor/Health and Welfare Benefits Notices document provides the required health benefit notices for eligible plan participants.  The below provides a brief description of each notice.

Plan Features

Everything You’ll Need to Know

List of Required Notices and Templates Notices:

  • COBRA General Notice: This notice explains the COBRA rights of a participant

  • Special Enrollment Rights Notice: This notice explains the right to change enrollment election based on Loss of Coverage (including Medicaid and CHIP), Marriage, Birth or Adoption

  • New Health Insurance Marketplace Coverage Options and Your Health Coverage Notice: This notice explains the Health Insurance Marketplace ( The Exchange) and the employer based health insurance option.

  • Newborns’ and Mothers’ Health Protection Act Notice: This notice explains the health plans obligation for maternity and newborn coverage

  • Women’s Health and Cancer Rights Act Notice: This notice explains the coverage for medical and surgical benefits related to a mastectomy

  • Summary of Benefits and Coverage (SBC) Uniform Glossary: This notice is to accompany the SBC, it defines terms used in the SBC to better understand your plans coverage

  • Children’s Health Insurance Program (CHIP): This notice explains the opportunity employees and dependents may have for a state premium assistance program through Medicaid or CHIP.

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