Rhode Island Certificate of Group Health Plan Coverage with Statement of HIPAA Portability Rights is a document that provides detailed information about an individual's health insurance coverage under a group health plan in Rhode Island, including the rights and protections offered by the Health Insurance Portability and Accountability Act (HIPAA). This certificate serves as a proof of coverage and outlines important aspects such as the effective date, termination date, and renewal options of the health plan. It includes a comprehensive explanation of benefits, deductibles, co-payments, and any limitations or exclusions that may apply. The document also confirms compliance with HIPAA regulations and the individual's rights pertaining to the portability of health coverage. The Rhode Island Certificate of Group Health Plan Coverage with Statement of HIPAA Portability Rights may vary based on different types of health plans, including: 1. Employer-Sponsored Group Health Plans: This type of certificate is issued to individuals who receive health insurance coverage through their employer. It outlines specific details related to the employer's group health plan, such as eligibility requirements, network providers, and any additional benefits offered. 2. Medicare Advantage Group Health Plans: Individuals who opt for Medicare Advantage plans in Rhode Island receive a unique Certificate of Group Health Plan Coverage. This document explains how the plan operates in conjunction with Medicare and highlights the extended benefits available to the enrolled. 3. Medicaid Managed Care Plans: Medicaid recipients in Rhode Island who are enrolled in a managed care plan receive a Certificate of Group Health Plan Coverage tailored specifically for their Medicaid benefits. The document provides an overview of the managed care organization, covered services, and contact information specific to the plan. 4. Individual Health Insurance Plans: Rhode Island residents who purchase health insurance plans individually may also receive a Certificate of Group Health Plan Coverage. This document outlines the benefits and coverage details of the individual plan, ensuring compliance with HIPAA regulations and portability rights. 5. Group Health Plans for Dependents: When dependents are covered under a group health plan, such as a child or spouse, a separate Certificate of Group Health Plan Coverage may be issued. It includes specific information relevant to the dependent coverage, such as eligibility criteria and coordination of benefits with other insurance plans. In conclusion, the Rhode Island Certificate of Group Health Plan Coverage with Statement of HIPAA Portability Rights is a crucial document that provides a comprehensive overview of an individual's health insurance coverage under a group health plan in Rhode Island. Its content may vary depending on the type of plan, such as employer-sponsored plans, Medicare Advantage plans, Medicaid managed care plans, individual health insurance plans, or dependent coverage.