Page 31 - Willscot I Mobile Mini Open Enrollment Guide

If you are covered by one of the WillScot Mobile Mini prescription drug plans listed below, you’ll be interested to know that the prescription drug coverage under the plan is, on average, at least as good as standard Medicare prescription drug coverage for 2022. This is called creditable coverage. Coverage under one of these plans will help you avoid a late Part D enrollment penalty if you are or become eligible for Medicare and later decide to enroll in a Medicare prescription drug plan.
• Aetna$1,500DeductiblePlan(alt.OOP)withHSA
• Aetna$3,000DeductiblePlan(altOOP)withHSA
If you decide to enroll in a Medicare prescription drug plan and you are an active employee or family member of an active employee, you may also continue your employer coverage. In this case, the WillScot Mobile Mini plan will continue to pay primary or secondary as it had before you enrolled in a Medicare prescription drug plan. If you waive or drop WillScot Mobile Mini coverage, Medicare will be your only payer. You can re-enroll in the employer plan at annual enrollment or if you have a special enrollment event for the WillScot Mobile Mini plan, assuming you remain eligible.
You should know that if you waive or leave coverage with WillScot Mobile Mini and you go 63 days or longer without creditable prescription drug coverage (once your applicable Medicare enrollment period ends), your monthly Part D premium will go up at least 1% per month for every month that you did not have creditable coverage. For example, if you go 19 months without coverage, your Medicare prescription drug plan premium will always be at least 19% higher than what most other people pay. You’ll have to pay this higher premium as long as you have Medicare prescription drug coverage. In addition, you may have to wait until the following October to enroll in Part D.
You may receive this notice at other times in the future — such as before the next period you can enroll in Medicare prescription drug coverage, if this WillScot Mobile Mini coverage changes, or upon your request.
FOR MORE INFORMATION ABOUT YOUR OPTIONS UNDER MEDICARE PRESCRIPTION DRUG COVERAGE
More detailed information about Medicare plans that offer prescription drug coverage is in the Medicare & You handbook. Medicare participants will get a copy of the handbook in the mail every year from Medicare. You may also be contacted directly by Medicare prescription drug plans. Here’s how to get more information about Medicare prescription drug plans:
• Visitwww.medicare.govforpersonalizedhelp.
• CallyourStateHealthInsuranceAssistanceProgram(seeacopyoftheMedicare&Youhandbookforthetelephonenumber). • Call1-800-MEDICARE(1-800-633-4227).TTYusersshouldcall1-877-486-2048.
For people with limited income and resources, extra help paying for a Medicare prescription drug plan is available. Information about this extra help is available from the Social Security Administration (SSA). For more information about this extra help, visit SSA online at www.socialsecurity.gov or call 1-800-772-1213 (TTY 1-800-325-0778).
Remember: Keep this notice. If you enroll in a Medicare prescription drug plan after your applicable Medicare enrollment period ends, you may need to provide a copy of this notice when you join a Part D plan to show that you are not required to pay a higher Part D premium amount.
For more information about this notice or your prescription drug coverage, contact:
Benefits Department
4646 E. Van Buren Street, Suite 400 Phoenix, AZ 85008
1-480-894-6311 benefits@mobilemini.com
HEALTH INSURANCE PORTABILITY AND ACCOUNTABILITY ACT (HIPAA) SPECIAL ENROLLMENT NOTICE
Notice of Special Enrollment Rights for Health Plan Coverage
If you have declined enrollment in WillScot Mobile Mini’s health plan for you or your dependents (including your spouse) because of other health insurance coverage, you or your dependents may be able to enroll in some coverages under these plans without waiting for the next Open Enrollment period, provided you request enrollment within 30 days after your other coverage ends.
In addition, if you have a new dependent as a result of marriage, birth, adoption or placement for adoption, you may be able to enroll yourself and your eligible dependents, provided that you request enrollment within 30 days after the marriage, birth, adoption or placement for adoption.
WillScot Mobile Mini will also allow a special enrollment opportunity if you or your eligible dependents either:
• LoseMedicaidorChildren’sHealthInsuranceProgram(CHIP)coveragebecauseyouarenolongereligible,or
• Becomeeligibleforastate’spremiumassistanceprogramunderMedicaidorCHIP.
For these enrollment opportunities, you will have 60 days – instead of 30 – from the date of the Medicaid/CHIP eligibility change to request enrollment in the WillScot Mobile Mini group health plan. Note that this 60-day extension does not apply to enrollment opportunities other than due to the Medicaid/CHIP eligibility change.
Note: If your dependent becomes eligible for special enrollment rights, you may add the dependent to your current coverage or change to another medical plan.
www.mercermarketplace.com/willscotmobilemini Copyright 2021 Mercer Health & Benefits LLC. All rights reserved. 31