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Medical Plan Notices

Below are links to various medical plan notices that you may need.

New Health Insurance Marketplace Coverage Options – view this notice for information on coverage options available in the new Health Insurance Marketplace created under the Accountable Care Act.

Annual Required Notice on Premium Assistance under Medicaid and the Children’s Health Insurance Program (CHIP).  If you or your children are eligible for Medicaid or CHIP and you are eligible for coverage from Bates, your State may have a premium assistance program that can help pay for coverage.

Medicare Part D – Notices of Creditable Coverage - If you or a dependent are over age 65 and ending your coverage under the Bates Medical Plan you will want to print out the applicable Notice of Creditable Coverage for each year you were covered under the Bates Medical Plan after 65.  These notices will prevent you from having to pay a premium for Medicare Part D Coverage.

Notice of a Dependents COBRA Qualifying Event - Send this form to Human Resources to inform us that one or more of your dependents covered under the Bates Medical or Dental Plans is losing coverage.


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