Annual Legal Notices End Of Relief Period Extending Certain Deadlines In Response To The Covid-19 Crisis Will Depend On The Date An Individual Action Would Have Been Required With Some Deadlines Resuming Feb. 28, 2021 (continued) Examples and Explanations: If a qualified beneficiary would have been required to make a COBRA election by March 1, 2020, the individual can wait until February 28, 2021, which is the earlier of 1 year from March 1, 2020 or the end of the Outbreak Period. Because the individual had 60 days to elect before the start of the Outbreak he or she would need to make an election by February 28, 2021. If a qualified beneficiary would have been required to make a COBRA election by March 1, 2021, the Notice delays that election requirement until the earlier of l year from that date (March 1, 2022) or the end of the Outbreak Period, with the possibility of an additional 60-day extension. If an individual experienced the birth of a child in February 2021 and the National Emergency was declared over July 1, 2021 (hypothetically), the employee would have 60 days from the end of the National Emergency plus 30 days under HIPM to give notice of the birth to request enrollment from the plan, September 29, 2021. Again, if you have any questions regarding these changes to the Plan or your specific circumstances, please contact The HydraFacial Company during normal business hours at 2165 East Spring Street, Long Beach, CA 90806, telephone number (800) 603-4996. ACA Disclaimer This offer of coverage may disqualify you from receiving government subsidies for an Exchange plan even if you choose not to enroll. To be subsidy eligible you would have to establish that this offer is unaffordable for you, meaning that the required contribution for employee only coverage under our base plan exceeds 9.83% (9.6 l % in 2022) of your modified adjusted household income. Disclaimer The amount the plan pays for covered services provided by non-network providers is based on a maximum allowable amount for the specific service rendered. Although your plan stipulates an out-of-pocket maximum for out-of-network services, please note the maximum allowed amount for an eligible procedure may not be equal to the amount charged by your out-of-network provider. Your out-of-network provider may bill you for the difference between the amount charged and the maximum allowed amount. This is called balance billing and the amount billed to you can be substantial. The out-of-pocket maximum outlined in your policy will not include amounts in excess of the allowable charge and other non-covered expenses as defined by your plan. The maximum reimbursable amount for non-network providers can be based on a number of schedules such as a percentage of reasonable and customary or a percentage of Medicare. The plan document or carrier’s master policy is the controlling document, and this Benefit Highlight does not include all of the terms, coverage, exclusions, limitations, and conditions of the actual plan language. Contact your claims payer or insurer for more information. This document is an outline of the coverage proposed by the carrier(s), based on information provided by your company. It does not include all of the terms, coverage, exclusions, limitations, and conditions of the actual contract language. The policies and contracts themselves must be read for those details. Policy forms for your reference will be made available upon request. The intent of this document is to provide you with general information regarding the status of, and/or potential concerns related to, your current employee benefits environment. It does not necessarily fully address all of your specific issues. It should not be construed as, nor is it intended to provide, legal advice. Questions regarding specific issues should be addressed by your general counsel or an attorney who specializes in this practice area. BeautyHealth New Hire Guide 2023 | 51
52 | BeautyHealth New Hire Guide 2023 BeautyHealth New Hire Guide 2023 | PB 2023 NEW HIRE GUIDE NH_BH_Mid_04109