CIGNA High Deductible Health Plan (HDHP) - UCAR Finance ...

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Women’s Health and Cancer Rights Act (WHCRA) ...........................................................................................42 Group Plan Coverage Instead of Medicaid...........................................................................................................42 Obtaining a Certificate of Creditable Coverage Under This Plan ........................................................................42 Requirements of Medical Leave Act of 1993 (as amended) (FMLA)..................................................................42 Uniformed Services Employment and Re-Employment Rights Act of 1994 (USERRA)....................................43 Claim Determination Procedures Under ERISA ..................................................................................................43 Medical - When You Have a Complaint or an Appeal.........................................................................................45 COBRA Continuation Rights Under Federal Law ...............................................................................................47 ERISA Required Information...............................................................................................................................50 Definitions.....................................................................................................................................52 What You Should Know about CIGNA Choice Fund ® — Health Savings Account.............60
Important Information THIS IS NOT AN INSURED BENEFIT PLAN. THE BENEFITS DESCRIBED IN THIS BOOKLET OR ANY RIDER ATTACHED HERETO ARE SELF-INSURED BY UNIVERSITY CORPORATION FOR ATMOSPHERIC RESEARCH WHICH IS RESPONSIBLE FOR THEIR PAYMENT. CIGNA HEALTH AND LIFE INSURANCE COMPANY (CIGNA) PROVIDES CLAIM ADMINISTRATION SERVICES TO THE PLAN, BUT CIGNA DOES NOT INSURE THE BENEFITS DESCRIBED. THIS DOCUMENT MAY USE WORDS THAT DESCRIBE A PLAN INSURED BY CIGNA. BECAUSE THE PLAN IS NOT INSURED BY CIGNA, ALL REFERENCES TO INSURANCE SHALL BE READ TO INDICATE THAT THE PLAN IS SELF-INSURED. FOR EXAMPLE, REFERENCES TO "CIGNA," "INSURANCE COMPANY," AND "POLICYHOLDER" SHALL BE DEEMED TO MEAN YOUR "EMPLOYER" AND "POLICY" TO MEAN "PLAN" AND "INSURED" TO MEAN "COVERED" AND "INSURANCE" SHALL BE DEEMED TO MEAN "COVERAGE." HC-NOT1
Page 1: University Corporation for Atmosphe
Page 6 and 7: Explanation of Terms You will find
Page 8 and 9: provided by other parties to the Po
Page 10 and 11: In addition, if at any time a Prima
Page 12 and 13: Assistant Surgeon and Co-Surgeon Ch
Page 14 and 15: BENEFIT HIGHLIGHTS IN-NETWORK OUT-O
Page 22 and 23: • inpatient services at any parti
Page 24 and 25: • are unable to obtain the requir
Page 26 and 27: • counseling for occupational pro
Page 28 and 29: covered subject to the following co
Page 30 and 31: Prescription Drug Benefits For You
Page 32 and 33: • treatment of an Injury or Sickn
Page 34 and 35: Coordination of Benefits This secti
Page 36 and 37: Medicare Eligibles CIGNA will pay a
Page 38 and 39: Recovery of Overpayment When an ove
Page 40 and 41: in the Plan. You must request enrol
Page 42 and 43: If a child placed for adoption is n
Page 44 and 45: of the request. If more time is nee
Page 46 and 47: advance of the Committee’s decisi
Page 48 and 49: Medicare (Part A, Part B or both) w
Page 50 and 51: Trade Act of 2002 The Trade Act of
Page 52 and 53: In addition, if you disagree with t
Page 54 and 55:
Employee The term Employee means a
Page 56 and 57:
• rendered in the least intensive
Page 58 and 59:
for injectables covered under the p
Page 60 and 61:
What You Should Know about CIGNA Ch
Page 62:
once to better understand side effe
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