Chris Johnson, Manager Consulting Services - J.W. Terrill

Healthcare Reform: Notice Requirements• Summary List of Potential PPACA Notice Requirements for 2011– Grandfathered Health Plan Notice• Must include statement in plan materials indicating that the plan “believes” it is a grandfathered plan andmust provide contact information for questions & complaints.• Health plan must maintain records documenting policy & plan terms in effect on March 23, 2010.– Age 26 Notice• Must provide notice in writing of the opportunity to enroll. Enrollment period must be open at least 30 days.– Lifetime Limit Re-enrollment Option• Must provide notice in writing of the opportunity to enroll. Enrollment period must be open at least 30 days.– OB/GYN PCP Notice• Language must be included in the SPD (Summary Plan Document) or Insurance Certificate of Coverageinforming members that any participating primary provider who is available may be selected as PCP.Additionally, your plan must allow pediatricians to be designated as PCP for children and female participantsmust be permitted to seek care from an in-network OB/GYN without prior authorization or referral.