2013 USX Office SPD.pdf - US Xpress
2013 USX Office SPD.pdf - US Xpress
2013 USX Office SPD.pdf - US Xpress
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Right to Be Notified of a Breach<br />
You have the right to be notified in the event that the Plan or a Business Associate of the Plan<br />
discovers a breach involving your unsecured protected health information.<br />
Complaints<br />
If you believe that your privacy rights have been violated, you may file a written complaint without<br />
fear of reprisal. Direct your complaint to the office listed below under “Contacting Us” or to the<br />
Secretary of Health and Human Services, Hubert H. Humphrey Building, 200 Independence<br />
Avenue, SW, Washington, DC 20201.<br />
About this Notice<br />
The Plan is required by law to maintain the privacy of Protected Health Information and to provide<br />
individuals with notice of its legal duties and privacy practices with respect to Protected Health<br />
Information. The Plan is required to abide by the terms of this Notice. The Plan reserves the<br />
right to change the terms of this Notice and to make the new notice provisions effective for all<br />
Protected Health Information it maintains. If this Notice is changed, you will receive a new notice<br />
via mail.<br />
Contacting Us<br />
You may exercise the rights described in this notice by contacting the U.S. <strong>Xpress</strong><br />
office identified below, which will provide you with additional information. The contact<br />
is:<br />
Amanda Thompson<br />
Sr. Director, Compensation & Benefits<br />
Human Resources Department<br />
(800) 251-6291 x 3491<br />
NOTICE OF RIGHTS TO CONTINUE GROUP HEALTH COVERAGE<br />
This section of the Summary Plan Description is your notice of continuation coverage rights under<br />
the Consolidated Omnibus Budget Reconciliation Act of 1985 ("COBRA"). COBRA continuation<br />
coverage can become available to you and to your spouse and dependent children, if they are<br />
covered under the Plan when you would otherwise lose your group health coverage. Under the<br />
Plan, COBRA continuation coverage rights apply to medical (including prescription drug), vision and<br />
dental benefits and also apply on a limited basis to medical reimbursement benefits. COBRA<br />
continuation coverage is a continuation of Plan coverage when coverage would otherwise end<br />
because of a life event known as a "qualifying event." Specific qualifying events are listed later in this<br />
notice. COBRA continuation coverage must be offered to each person who is a "qualified<br />
beneficiary." A qualified beneficiary is someone who will lose coverage under the Plan because of a<br />
qualifying event. Depending on the type of qualifying event, employees, spouses of employees, and<br />
dependent children of employees may be qualified beneficiaries. Under the Plan, qualified<br />
beneficiaries who elect COBRA continuation coverage must pay for COBRA continuation coverage.<br />
If you are an employee covered under the Plan, you have a right to choose this continuation<br />
coverage 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 you<br />
are the spouse of an employee 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) or a<br />
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 />
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