Benefits Guide 2023

For plans located in:

For plans located in:

The OCR address & phone number are: Region II, Linda Colon, Regional Manager, Office for Civil Rights, U.S. DHHS, Jacob Javits Federal Bldg, 26 Federal Plaza, Suite 3312, New York, NY 10278. Phone: 800- 368-1019, Fax: (212) 264-3039, TDD: (800) 537-7697

New Jersey, New York, Puerto Rico, or Virgin Islands

Contact For more information on the Plan’s privacy policies or your rights under HIPAA, contact the Benefits Office at (516) 367-5033. Additional contacts The following is a list of key persons or offices you may need to contact to exercise your rights under the HIPAA privacy rule for different benefit plans offered by Cold Spring Harbor Laboratory:

Restricted disclosures

Confidential

Access to or copies of

Amendment of your Accounting

communications your health information health information

of disclosures

Medical plans

United Healthcare, Civil Rights Coordinator, UHC Civil Rights Grievance, P.O. Box 30608, Salt Lake City, UT 84130, UHC_Civil_Rights@uhc.com Cigna, Privacy Officer, P.O. Box 188014, Chattanooga, TN 37422 – 1.800.762.9940 EyeMed, Customer Care Center at (866) 939-3633 WageWorks, Inc. Claims Administrator, P.O. Box 14053, Lexington, KY 40512. Customer Service: 1-877-924-3967

Dental plans

Vision plans

Flexible Spending Accounts

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