iSleep 2023-2024 Benefits Guide

2023 - 2024 EMPLOYEE BENEFITS

About Your Benefits

At ISLEEP , we strive to offer a comprehensive and competitive benefits package to our employees. The goal of this guide is to walk you through your benefits and help you understand the options available to you.

Table of Contents

BENEFITS ELIGIBILITY ..................................................................................................................................................1 MEDICAL BENEFITS – Silver Plan ................................................................................................................................3 MEDICAL BENEFITS – Gold Plan..................................................................................................................................4 DENTAL BENEFITS .......................................................................................................................................................5 VISION BENEFITS ........................................................................................................................................................6 LIFE INSURANCE..........................................................................................................................................................7 VOLUNTARY BENEFITS................................................................................................................................................8 CONTACT INFORMATION & RESOURCES....................................................................................................................9 MEDICARE PART D NOTICE...................................................................................................................................... 10 WOMEN ’ S HEALTH & CANCER RIGHTS ACT............................................................................................................. 12 DESIGNATION OF PRIMARY CARE PROVIDER.......................................................................................................... 12 HEALTH INSURANCE MARKETPLACE COVERAGE .................................................................................................... 13 HIPAA NOTICE OF SPECIAL ENROLLMENT ............................................................................................................... 15 HIPAA NOTICE OF PRIVACY PRACTICES ................................................................................................................... 16 NEWBORNS’ AND MOTHERS’ HEALTH PROTECTION ACT OF 1996 ......................................................................... 16 THE CHILDREN ’ S HEALTH INSURANCE PROGRAM (CHIP) ........................................................................................ 17

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