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2011 office employee handbook.pdf - US Xpress

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Right to Request Confidential Communications: You may request to receive your Protected<br />

Health Information by alternative means or at an alternative location if you reasonably believe that<br />

other disclosure could pose a danger to you. For example, you may only want to have information<br />

sent by mail or to an address other than your home. For more information about exercising these<br />

rights, contact the <strong>office</strong> below.<br />

Complaints: If you believe that your privacy rights have been violated, you may file a written complaint<br />

without fear of reprisal. Direct your complaint to the <strong>office</strong> listed below under “Contacting Us”<br />

or to the Secretary of Health and Human Services, Hubert H. Humphrey Building, 200 Independence<br />

Avenue, SW, Washington, DC 20201.<br />

About this Notice: The Plan reserves the right to change the terms of this notice and to make<br />

the new notice provisions effective for all Protected Health Information it maintains. If this notice is<br />

changed, you will receive a new notice via mail.<br />

Contacting Us: You may exercise the rights described in this notice by contacting the U.S. <strong>Xpress</strong><br />

<strong>office</strong> identified below, which will provide you with additional information. The contact is:<br />

Amanda Thompson<br />

Director, Compensation & Benefits<br />

Human Resources Department<br />

(800) 251-6291 x 3491<br />

COBRA<br />

This section of the Handbook is your notice of continuation coverage rights under the Consolidated<br />

Omnibus Budget Reconciliation Act of 1985 (“COBRA”). COBRA continuation coverage can become<br />

available to you and to your spouse and dependent children, if they are covered under the Plan when<br />

you would otherwise lose your group health coverage. Under the Plan, COBRA continuation coverage<br />

rights apply to medical (including prescription drug), vision and dental benefits and also apply on<br />

a limited basis to medical reimbursement benefits. COBRA continuation coverage is a continuation<br />

of Plan coverage when coverage would otherwise end because of a life event known as a “qualifying<br />

event.” Specific qualifying events are listed later in this notice. COBRA continuation coverage must<br />

be offered to each person who is a “qualified beneficiary.” A qualified beneficiary is someone who<br />

will lose coverage under the Plan because of a qualifying event. Depending on the type of qualifying<br />

event, <strong>employee</strong>s, spouses of <strong>employee</strong>s, and dependent children of <strong>employee</strong>s may be qualified<br />

beneficiaries. Under the Plan, qualified beneficiaries who elect COBRA continuation coverage must<br />

pay for COBRA continuation coverage.<br />

If you are an <strong>employee</strong> covered under the Plan, you have a right to choose this continuation coverage<br />

if you lose your group health coverage because of a reduction in your hours of employment<br />

or the termination of your employment (for reasons other than gross misconduct on your part). If<br />

you are the spouse of an <strong>employee</strong> covered by the Plan, you have the right to choose continuation<br />

coverage for yourself if you lose group health coverage under the Plan for any of the following four<br />

reasons:<br />

1. The death of your spouse;<br />

2. A termination of your spouse’s employment (for reasons other than gross misconduct)<br />

or a reduction in your spouse’s hours of employment;<br />

3. Divorce or legal separation from your spouse; or<br />

4. Your spouse becomes entitled to Medicare.<br />

36 U.S. <strong>Xpress</strong>, Inc.

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