| Notice Type |
GHP Benefits Required To Comply |
When Notice Must Be Provided (Distribution during Open Enrollment Generally Satisfies these Deadlines) |
To Whom Must Notice
Be Provided? |
| Notice of Material Change in Plan Provisions |
Medical, Rx, HRA, Dental, Vision, EAP, Health FSA |
(After DOL issues four-page Summary of Benefits regulations): At least 60 days before effective date of any material change |
Participants (employees, retirees, COBRA QBs and QMCSO alternate recipients)
Note: For calendar year plans, notice of change for next plan year will satisfy 60-day requirement only if given by November 2.
|
| General HIPAA Pre-Ex Condition Notice, including no pre-ex for children under 19 |
Medical, Rx, HRA |
With enrollment application materials |
Participants (employees, COBRA QBs and QMCSO alternate recipients)
Note: Retiree-only plans are exempt.
|
| HIPAA Special Enrollment Notice, including CHIPRA HIPAA special enrollment right |
Medical, Rx, HRA |
At initial enrollment |
At initial enrollmenta“Employees eligible to enroll” (Employees, COBRA QBs and QMCSO alternative recipients)
Note: Retiree-only plans are exempt.
|
| CHIPRA Notice of State Premium Subsidies |
Medical, Rx, HRA |
Annually |
Employees who reside in a state that provides premium subsidies (at least 40 states do)
Note: DOL issued an updated notice effective January 1, 2011 (updated state contact information).
|
| Notice of Availability of HIPAA Notice of Privacy Practices |
Medical, Rx, Dental, Vision, EAP, Health FSA |
At least once every 3 years |
Participants (employees, retirees, COBRA QBs and QMCSO alternate recipients) |
| Women's Health and Cancer Rights Act (WHCRA) Notice |
Medical |
Upon enrollment in the plan and annually |
Participants (employees, retirees, COBRA QBs and QMCSO alternate recipients) |
| Medicare Part D Notice of Creditable Coverage to Participants |
Rx |
Annually by October 15 |
Participants (employees, retirees, COBRA QBs and QMCSO alternate recipients)
Note: Health care reform law changed the open enrollment period for Medicare Part D (now Oct. 15 to Dec. 7), which changed the notice deadline. HHS issued an updated model notice effective April 1, 2011.
|