Important News
Health Plan Update
A Summary of Material Modification ("SMM") was recently released from the Writers' Guild-Industry Health Fund ("Plan") office notifying you of important changes to certain benefits, as well as to the claim and appeal procedures under the Plan. The changes were made to comply with the applicable requirements under the Patient Protection and Affordable Care Act of 2010 ("PPACA") and the Mental Health Parity Act of 2008 ("MHPA"), and are effective as of January 1, 2012, unless otherwise noted in the SMM.
Summary of Health Plan Changes
- Benefit Changes to Comply with the Mental Health Parity Act
- Changes To Comply with PPACA
- Coverage for Hospital Emergency Room Services
- No Cost Sharing for Preventive Care Services
- Claims and Appeal Procedures
An addendum to the October 15, 2011 Summary of Material Modification was released on November 1, 2011. This addendum includes the erratum and the update regarding the administration of the over the counter products payable under the preventive care services.
Copies will be included in the 2012 Open Enrollment package.
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