Page 32 - Willscot I Mobile Mini Open Enrollment Guide

To request a HIPAA special enrollment based on the events described above or obtain more information, contact the Benefits Department at 1-480-894-6311 or benefits@mboilemini.com.. During the COVID National Emergency declaration, under certain circumstances, you may be able to request a HIPAA special enrollment outside the 30 day window mentioned above. If you have experienced a HIPAA special enrollment event (as described above) and would like to request a HIPAA special enrollment outside of the 30 day window, please contact the Benefits Department at 1- 480-894-6311 or benefits@mboilemini.com. Note that the ability to request a HIPAA special enrollment outside of the 30 day window is temporary and may no longer apply based on the status of the COVID National Emergency declaration. In addition, the extended enrollment opportunity is individually determined and may not apply based on your specific circumstances.
WOMEN’S HEALTH AND CANCER RIGHTS ACT (WHCRA) NOTICE
If you have had or are going to have a mastectomy, you may be entitled to certain benefits under the Women’s Health and Cancer Rights Act of 1998 (WHCRA). For individuals receiving mastectomy-related benefits, coverage will be provided in a manner determined in consultation with the attending physician and the patient, for:
• Allstagesofreconstructionofthebreastonwhichthemastectomywasperformed;
• Surgeryandreconstructionoftheotherbreasttoproduceasymmetricalappearance; • Prostheses;and
• Treatmentofphysicalcomplicationsofthemastectomy,includinglymphedema.
These benefits will be provided subject to the same deductibles and coinsurance applicable to other medical and surgical benefits provided under this plan. If you would like more information on WHCRA benefits, call your medical carrier at the phone number listed on the back of your ID card.
NEWBORNS’ AND MOTHERS’ HEALTH PROTECTION ACT NOTICE
Group health plans and health insurance issuers generally may not, under Federal law, restrict benefits for any hospital length of stay in connection with childbirth for the mother or newborn child to less than 48 hours following a vaginal delivery, or less than 96 hours following a cesarean section. However, Federal law generally does not prohibit the mother’s or newborn’s attending provider, after consulting with the mother, from discharging the mother or her newborn earlier than 48 hours (or 96 hours as applicable). In any case, plans and issuers may not, under Federal law, require that a provider obtain authorization from the plan or the insurance issuer for prescribing a length of stay not in excess of 48 hours (or 96 hours). If you would like more information on maternity benefits, call your medical carrier at the phone number listed on the back of your ID card.
MICHELLE’S LAW NOTICE
Extended Dependent Medical Coverage During Student Medical Leaves
The WillScot Mobile Mini plan may extend medical coverage for dependent children if they lose eligibility for coverage because of a medically necessary leave of absence from a post-secondary educational institution (including a college or university). Coverage may continue for up to a year, unless the child’s eligibility would end earlier for another reason.
Extended coverage is available if a child’s leave of absence from school — or change in school enrollment status (for example, switching from full- time to part-time status) — starts while the child has a serious illness or injury, is medically necessary, and otherwise causes eligibility for student coverage under the plan to end. Written certification from the child’s physician stating that the child suffers from a serious illness or injury and the leave of absence is medically necessary may be required.
If the coverage provided by the plan is changed during this one-year period, the plan will provide the changed coverage for the remainder of the leave of absence.
If your child will lose eligibility for coverage because of a medically necessary leave of absence from school and you want his or her coverage to be extended, call Mercer Marketplace 365 at 1-844-851-5423 as soon as the need for the leave is recognized by WillScot Mobile Mini. In addition, contact your child’s health plan to see if any state laws requiring extended coverage may apply to his or her benefits.
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