Legal Notices Related to NAU Benefit Plans

If you participate or enroll in NAU or Benefit Options sponsored plans, you are entitled to the following plan documents and legal notices as summarized below.

Summary of Benefits & Coverage (SBC) and Uniform Glossary

As part of the Affordable Care Act, the federal government announced new rules regarding the disclosure of the Summary of Benefits and Coverage (SBC) and Uniform Glossary. These regulations require group health plans and health insurance issuers that offer coverage to provide access to the SBC and Uniform Glossary.

You these documents can be found on Plan Documents web page under the Summary of Benefits and Coverage tab

Consolidated Omnibus Budget Reconciliation Act (COBRA)  | General Notice

Notice of the Arizona Benefit Options Program COBRA Coverage. This notice has important information about your right to COBRA continuation coverage, which is a temporary extension of coverage under the Plan.

Health Insurance Portability & Accountability Act (HIPAA) | Notice

This notice protects the privacy of individually identifiable health information and establishes who can use the personal health information and how it can be used.

HIPAA Special Enrollment Rights | Notice

This notice provides information regarding special enrollment. You may be able to enroll in health plan without waiting for the next open enrollment period if you request a QLE change within 31 days of an event for loss of other coverage or birth, adoption or placement for adoption. Also, you may enroll if you become eligible for a state premium assistance program under Medicaid or CHIP. You must request enrollment within 60 days after you gain eligibility for medical plan coverage.

Medicare Notice of Creditable Coverage | Notice

This notice has information about the prescription drug coverage through the Benefit Options program for participants with Medicare. It explains the options you have under Medicare prescription drug coverage (Medicare Part D) and can help you decide whether you want to enroll.

Women’s Health and Cancer Rights Act (WHCRA)

This notice describes mandated benefits for mastectomy-related services and informs individuals that services are available for such treatment and services, including reconstructive surgery, prosthesis, and lymphedema treatment, and explains how to obtain a detailed description of the mastectomy-related benefits under the Plan.

• NAU Medical Plans – You can find the this notice in your BCBS Benefit Book
  • NAU BCBSAZ – PPO |  Benefit Book  page 55
  • NAU BCBSAZ – HDHP\HSA | Benefit Book  page 53
• State of AZ Medical Plans | Notice

Newborns’ and Mothers’ Health Protection Act of 1996

This notice provides that health plans and issuers may not, under federal law, restrict benefits for any hospital length of stay in connection with childbirth for the mother or newborn child for prescribing a length of stay not more than 48 hours (or 96 hours). The plan may not require that a provider obtain authorization from the Plan for prescribing the minimum length of stay.

• NAU Medical Plans – You can find the this notice in your BCBS Benefit Book
  • NAU BCBSAZ – PPO |  Benefit Book  page 46
  • NAU BCBSAZ – HDHP\HSA | Benefit Book   page 46
• State of AZ Medical Plans | Notice