Page 2 | Jay School Corporation 2025 Compliance Bundle LEGAL NOTICES FOR 2025 The Employee Retirement Income Security Act (ERISA), Department of Labor (DOL), Department of Health and Human Services (HHS) and Internal Revenue Service require plan administrators to provide certain information related to their health and welfare benefits plan to plan participants in writing. To satisfy this requirement, please review the compliance notifications included in this package. These notices explain your rights and obligations in relation to the health and welfare plan provided by Jay School Corporation. Please read these notices carefully and retain a copy for your records: • Health Insurance Portability and Accountability Act of 1996 (HIPAA) • Notice of Privacy Practices • Women’s Health and Cancer Rights Act • Newborns’ and Mothers’ Health Protection Act • Patient Protection Notice • HIPAA Special Enrollment Notice • Notice Regarding Wellbeing Program • Paperwork Reduction Act Statement • Genetic Information Nondiscrimination Act (GINA) • Mental Health Parity and Addiction Equity Act (MHPAE) • Premium Assistance under Medicare and Children’s Health Insurance Program (CHIP) • Your Rights and Protections Against Surprise Medical Bills • USERRA Notice • Model General Notice of COBRA Continuation Coverage Rights • Family Medical Leave Act (FMLA) • Medicare Part D Creditable Notice • Marketplace Exchange Notice
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