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2017 EXPAT BENEFITS
GUIDE
13
SPECIAL ENROLLMENT NOTICE
If you decline enrollment for yourself or your
dependents (including your spouse) because of
other health insurance coverage, you and your
dependents may in the future be able to enroll
yourself or your dependents in Chevron Phillips
Chemical Company LP Health and Welfare plans
if you lose your other coverage. You must request
enrollment within 31 days after your other coverage
ends. In addition, if you have a new dependent as
a result of marriage, birth, adoption, placement for
adoption or legal guardianship, you may be able
to enroll yourself and your dependents if you were
previously not enrolled. You must enroll within
31 days after the event, and coverage will be
effective the date of the event.
In addition, you may enroll in Chevron Phillips
Chemical’s medical plan if you become eligible for,
or lose coverage under, a state premium assistance
program under Medicaid or Children’s Health
Insurance Program (CHIP). You must request
enrollment within 60 days after you gain or lose
this eligibility. If you request a change, coverage
will be effective the first of the month following your
request for enrollment. Specific restrictions may
apply, depending on federal and state law.
PRIVACY PROTECTIONS
HIPAA imposes requirements on employer health
plans concerning the use and disclosure of
individual health information. To obtain a copy of
the privacy notice for Chevron Phillips Chemical
Company LP Health and Welfare plans, contact
the Employee Service Center at 1-800-446-1422
(option 3).
GENERAL NOTICE OF COBRA
CONTINUATION COVERAGE RIGHTS
Introduction
Under a federal law known as the Consolidated
Omnibus Budget Reconciliation Act of 1985
(COBRA), individuals with group health coverage
have the right to continue coverage for a limited
period of time when plan coverage would
otherwise end. This notice provides a general
explanation of COBRA continuation coverage,
when it may become available to you and your
family, and how you can protect your right
to receive it.