Michelle’s Law Notice When adependent child over the age of 26 loses student status under the eligibility policy of Spear PT group health plan coverage, as aresult of amedically necessary leave of absencefrom apost-secondary educational institution, the Spear PT group health plan will continue to provide coverage during the leave of absence for the earlier end date of up to one year, or until coverage would otherwise terminate under the Spear PT group health plan.
Tomaintain eligibility and continue coverage as adependent during such leave of absence:
• TheSpear PTGroup Health Plan mustreceive written certification by atreating physician of the dependent child which states that the child is suffering from aserious illness or injury and that the leaveofabsence(orotherchangeofenrollment)ismedicallynecessary; and
• The dependent must be established as a disabled dependent as defined by the medical carriers.
Toobtain additional information, please contact:
Carla Giambona Director of HR cgiambona@spearcenter.com Women’s Health and Cancer Rights Act (WHCRA) Notice Enrollment Notice If you have had or are going to have amastectomy, you may be entitled to certain benefits under the Women’sHealth andCancerRights Act of 1998(WHCRA).Forindividuals receiving mastectomy-related benefits, coverage will be provided in a manner determined in consultation with the attending physician and the patient, for:
• All stages of reconstruction of the breast on which the mastectomy was performed;
• Surgery and reconstruction of the other breast to produce asymmetrical appearance;
• Prostheses; and
• Treatment of physical complications of the mastectomy, including lymphedema.
These benefits will be provided subject to the same deductibles and coinsurance applicable to other medical and surgical benefits provided under this plan. Therefore,the following deductibles and coinsurance apply:
• Centivo - Advantage Plan
• Cigna -HSA 3500 Plan
• Cigna - OAP Plan
If you would like more information on WHCRA benefits, contact your plan administrator:
Carla Giambona
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