King Washington Certificate of Group Health Plan Coverage with Statement of HIPAA Portability Rights

State:
Multi-State
County:
King
Control #:
US-AHI-010
Format:
Word
Instant download

Description

This AHI form is a certificate of group health plan coverage. This form is evidence that the employee is covered under the group health care plan.
The King Washington Certificate of Group Health Plan Coverage with Statement of HIPAA Portability Rights is a document provided by King Washington, a leading health insurance provider, to its members who are covered under a group health plan. This certificate serves as proof of coverage and outlines the key details of the health plan, as well as the member's rights under the Health Insurance Portability and Accountability Act (HIPAA). The certificate includes information such as the member's name, policy number, and effective dates of coverage. It also specifies the type of coverage, whether it is for an individual, a family, or a group, and provides a summary of benefits and services included in the plan. In addition to the standard information, the King Washington Certificate of Group Health Plan Coverage with Statement of HIPAA Portability Rights also highlights the member's rights and protections under HIPAA. These rights include the ability to continue coverage when switching jobs or losing eligibility for the current group plan, as well as restrictions on pre-existing conditions exclusions. If there are different types of King Washington Certificate of Group Health Plan Coverage with Statement of HIPAA Portability Rights, they may vary based on the type of group health plan. For example, there may be certificates specific to employer-sponsored plans, government-sponsored plans, or plans offered to specific organizations or industries. Keywords: King Washington, Certificate, Group Health Plan Coverage, Statement of HIPAA Portability Rights, health insurance provider, proof of coverage, HIPAA, member's rights, effective dates of coverage, type of coverage, summary of benefits, services, job switching, eligibility, pre-existing conditions, employer-sponsored plans, government-sponsored plans, organizations, industries.

The King Washington Certificate of Group Health Plan Coverage with Statement of HIPAA Portability Rights is a document provided by King Washington, a leading health insurance provider, to its members who are covered under a group health plan. This certificate serves as proof of coverage and outlines the key details of the health plan, as well as the member's rights under the Health Insurance Portability and Accountability Act (HIPAA). The certificate includes information such as the member's name, policy number, and effective dates of coverage. It also specifies the type of coverage, whether it is for an individual, a family, or a group, and provides a summary of benefits and services included in the plan. In addition to the standard information, the King Washington Certificate of Group Health Plan Coverage with Statement of HIPAA Portability Rights also highlights the member's rights and protections under HIPAA. These rights include the ability to continue coverage when switching jobs or losing eligibility for the current group plan, as well as restrictions on pre-existing conditions exclusions. If there are different types of King Washington Certificate of Group Health Plan Coverage with Statement of HIPAA Portability Rights, they may vary based on the type of group health plan. For example, there may be certificates specific to employer-sponsored plans, government-sponsored plans, or plans offered to specific organizations or industries. Keywords: King Washington, Certificate, Group Health Plan Coverage, Statement of HIPAA Portability Rights, health insurance provider, proof of coverage, HIPAA, member's rights, effective dates of coverage, type of coverage, summary of benefits, services, job switching, eligibility, pre-existing conditions, employer-sponsored plans, government-sponsored plans, organizations, industries.

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How to fill out King Washington Certificate Of Group Health Plan Coverage With Statement Of HIPAA Portability Rights?

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FAQ

HIPAA privacy regulations create an exclusion for group health plans that have fewer than 50 participants and are administered by the employer that established and maintains the plan.

The primary purpose of the certificate is to show the amount of creditable coverage that you had under a group health plan or other health insurance coverage, because this can reduce or eliminate the length of time that any pre-existing condition clause in a new plan otherwise might apply to you.

The Notice of Creditable Coverage works as proof of your coverage when you first become eligible for Medicare. Those who have creditable coverage through an employer or union receive a Notice of Creditable Coverage in the mail each year. This notice informs you that your current coverage is creditable.

A group health plan's prescription drug coverage is considered creditable if its actuarial value equals or exceeds the actuarial value of standard Medicare Part D prescription drug coverage. Prescription drug coverage that does not meet this standard is called non-creditable.

A certificate of Creditable Coverage (COCC) is a document provided by your previous insurance carrier that proves that your insurance has ended. This includes the name of the member to whom it applies as well as the coverage effective date and cancelation date.

Part of the HIPAA portability provision is issuing a Certificate of Creditable Coverage (COCC). The COCC must indicate the date that any waiting period began and the dates that coverage under the plan began and ended. On the back of the COCC is educational information explaining HIPAA rights.

Certificates of creditable coverage must be issued when a covered employee or dependent has a COBRA qualifying event or otherwise ceases to have coverage under the employer-sponsored health plan, when COBRA coverage ends, and upon request within 24 months after coverage ceases.

HIPAA creditable coverage -- The concept of HIPAA creditable coverage is that an individual should be given day-for-day credit for previous health coverage against the application of a preexisting condition exclusion period when moving from one group health plan to another, from a group health plan to individual

This document explains the health benefits you and your dependents have under the plan. It details the services that will and will not be covered. Services that are not covered are called exclusions.

Creditable coverage is a health insurance, prescription drug, or other health benefit plan that meets a minimum set of qualifications. Types of creditable coverage plans include group and individual health plans, and student health plans, as well as a variety of government-sponsored or government-provided plans.

More info

Printed under the direction of the Washington State Health Care Authority Public Employees Benefits Board (PEBB). Involuntary Loss of Group Health Plan or Health Insurance.If you become covered under another group health plan, check with the.

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King Washington Certificate of Group Health Plan Coverage with Statement of HIPAA Portability Rights