LAPRA 2018 Legally Required Notices

2018 Legally Required Notices Each year there are legally required notices and disclosures that LAPRA is required to make available to participants in LAPRA’s benefit plans. These notices and disclosures are for your information. Notice or Disclosure Section 125 Important Announcement for Active Members . . . . . . . 1 Notice Regarding Summary of Benefits and Coverage (SBC) . . . . . . . 2 Los Angeles Police Relief Association, Inc. Health Plan Notice of Privacy Practices . . . . . . . . . . . . . . . . . . . 2 Domestic Partners . . . . . . . . . . . . . . . . . . . . . . 2 Submission of Enrollment Form for Election Change . . . . . . . . . . 2 Medicare Part D . . . . . . . . . . . . . . . . . . . . . . . 3 Notice Regarding Women’s Health & Cancer Rights Act . . . . . . . . 3 Notice Regarding Newborns’ and Mothers’ Health Protection Act . . . . . 3 Notice of Special Enrollment Rights . . . . . . . . . . . . . . . . 3 Member Requirement to Notify LAPRA of a Change of Address and Status of Dependents . . . . . . . . . . . . . . . . . . . 4 Anthem Blue Cross Binding Arbitration Notice . . . . . . . . . . . . 4 Important Notice from the Los Angeles Police Relief Association (LAPRA) About Your Prescription Drug Coverage and Medicare . . . . . . 5 Premium Assistance Under Medicaid and the Children’s Health Insurance Program (CHIP) . . . . . . . . . . . . . . . . . . . 7

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