Remember: Keep this Creditable Coverage notice. If you decide to join one of the Medicare drug plans, you may be required to provide a copy of this notice when you join to show whether or not you have maintained creditable coverage and whether or not you are required to pay a higher premium (a penalty).
Date:
August 1, 2024 Jessica Alvarez
Name of Entity/Sender: Contact—Position/Office:
Director of Payroll & Benefits 4960 SW 72nd AVE Suite 406 Miami, Florida 33155
Address:
Phone Number:
305-783-4640
Nothing in this notice gives you or your dependents a right to coverage under the Plan. Your (or your dependents’) right to coverage under the Plan is determined solely under the terms of the Plan.
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