HIPPA Law - New Jersey City University

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OKLAHOMA – Medicaid and CHIPWebsite: http://www.insureoklahoma.orgPhone: 1-888-365-3742OREGON – Medicaid and CHIPWebsite: http://www.oregonhealthykids.govhttp://www.hijossaludablesoregon.govPhone: 1-877-314-5678PENNSYLVANIA – MedicaidWebsite: http://www.dpw.state.pa.us/hippPhone: 1-800-692-7462RHODE ISLAND – MedicaidWebsite: www.ohhs.ri.govPhone: 401-462-5300SOUTH CAROLINA – MedicaidWebsite: http://www.scdhhs.govPhone: 1-888-549-0820SOUTH DAKOTA - MedicaidWebsite: http://dss.sd.govPhone: 1-888-828-0059TEXAS – MedicaidWebsite: https://www.gethipptexas.com/Phone: 1-800-440-0493UTAH – Medicaid and CHIPWebsite: http://health.utah.gov/uppPhone: 1-866-435-7414VERMONT– MedicaidWebsite: http://www.greenmountaincare.org/Phone: 1-800-250-8427VIRGINIA – Medicaid and CHIPMedicaid Website: http://www.dmas.virginia.gov/rcp-HIPP.htmMedicaid Phone: 1-800-432-5924CHIP Website: http://www.famis.org/CHIP Phone: 1-866-873-2647WASHINGTON – MedicaidWebsite: http://hrsa.dshs.wa.gov/premiumpymt/Apply.shtmPhone: 1-800-562-3022 ext. 15473WEST VIRGINIA – MedicaidWebsite: www.dhhr.wv.gov/bms/Phone: 1-877-598-5820, HMS Third Party LiabilityWISCONSIN – MedicaidWebsite: http://www.badgercareplus.org/pubs/p-10095.htmPhone: 1-800-362-3002WYOMING – MedicaidWebsite: http://health.wyo.gov/healthcarefin/equalitycarePhone: 307-777-7531To see if any more States have added a premium assistance program since July 31, 2012, or formore information on special enrollment rights, you can contact either:U.S. Department of LaborU.S. Department of Health and Human ServicesEmployee Benefits Security Administration Centers for Medicare & Medicaid Serviceswww.dol.gov/ebsawww.cms.hhs.gov1-866-444-EBSA (3272) 1-877-267-2323, Ext. 61565OMB Control Number 1210-0137 (expires 09/30/2013)3
DEPARTMENT OF HEALTH & HUMAN SERVICESOffice of the SecretaryOffice of Consumer Informationand Insurance OversightInstructions for Delivering Required Form Notice to Plan Participants of SponsorsParticipating in Early Retiree Reinsurance Program, and Form NoticeIntroductionSponsors participating in the Early Retiree Reinsurance Program (ERRP) must provide a formnotice to plan participants notifying them that, because the sponsor is participating in the ERRPwith respect to the plan, the sponsor may use the reimbursements to reduce plan participants’premium contributions, copayments, deductibles, co-insurance, or other out-of-pocket costs, andtherefore plan participants may experience such changes in the terms and conditions of their planparticipation. Following are instructions on the manner and timing of delivering this form notice,and the form notice itself. Sponsors must use the attached form notice.To Whom Form Notice Must be DeliveredThe form notice must be delivered to all individuals who are plan participants (including enrolledspouses, surviving spouses, and dependents), and not just early retirees. The form notice mayalso be delivered to each such individual’s authorized agent.Timing of Delivering Form NoticeThe form notice must be delivered within a reasonable time after the sponsor receives its firstERRP reimbursement. A sponsor may deliver the form notice before it receives its first ERRPreimbursement.Manner of Delivering Form NoticeSponsors have a number of options for delivering the form notice. The form notice may beincluded with other plan materials delivered to plan participants. The form notice may bedelivered by U.S. mail or by courier service to each plan participant’s last known address. Asponsor generally may deliver one form notice per family, as long as the form notice is addressedto all plan participants who are family members.With respect to plan participants who are actively working, sponsors may instead send the formnotices electronically, provided these plan participants have the ability to access electronicdocuments at their regular place of work, and have access to the sponsor’s electronic informationsystem on a daily basis as part of their work duties.The initial notices to existing plan participants, and the subsequent notices to new planparticipants, may be delivered by the sponsor or by an entity contracted by the sponsor. However,it is the sponsor’s obligation to ensure that the form notices are properly delivered.Related NoticesTo the extent a sponsor’s use of ERRP reimbursement causes the benefits under, or terms of, theplan to change in such a way that notice of the change to plan participants is required under anyapplicable law (for example, under the Employee Retirement Income Security Act), the sponsoris required to comply with such applicable law.
Page 1 and 2: DATE: February 2013TO:FROM:SUBJECT:
Page 3 and 4: HC-0247-1108qCOBRA HIGHLIGHTSEMPLOY
Page 5 and 6: Fact Sheet #30A PUBLICATION OF THE
Page 7 and 8: Fact Sheet #30A PUBLICATION OF THE
Page 9 and 10: HB-0730-0213Notice to Health Benefi
Page 11 and 12: elated benefits and services or abo
Page 13 and 14: HB-0730-0213Notice of AvailabilityS
Page 15: IDAHO - Medicaid and CHIPMedicaid W
Page 19 and 20: HO-0764-1012 Fact Sheet #74A PUBLIC
Page 21 and 22: HB-0327-0113pCERTIFICATE OF GROUP H
Page 23: HB-0327-0113pINSTRUCTIONS FOR COMPL

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