11 Removal of Members ................................................................................................................................96 Continuation of Coverage Under Federal Law (COBRA)..........................................................................96 Qualifying events for Continuation Coverage under Federal Law (COBRA).........................................97 If Your Employer Offers Retirement Coverage......................................................................................98 Second qualifying event.........................................................................................................................98 Notification Requirements......................................................................................................................98 Disability extension of 18-month period of continuation coverage ........................................................98 Trade Adjustment Act Eligible Individual ...............................................................................................99 When COBRA Coverage Ends..............................................................................................................99 Other coverage options besides COBRA Continuation Coverage ........................................................99 If You Have Questions...........................................................................................................................99 Indiana Public Employee Continuation of Coverage.................................................................................99 Continuation of Coverage Due To Military Service .................................................................................100 Maximum Period of Coverage During a Military Leave .......................................................................100 Reinstatement of Coverage Following a Military Leave ......................................................................100 Family and Medical Leave Act of 1993 ...................................................................................................101 General Provisions..................................................................................................................................102 Care Coordination ...................................................................................................................................102 Clerical Error............................................................................................................................................102 Confidentiality and Release of Information..............................................................................................102 Conformity with Law ................................................................................................................................102 Contract with Anthem ..............................................................................................................................102 Employer’s Sole Discretion......................................................................................................................103 Form or Content of Booklet .....................................................................................................................103 Government Programs ............................................................................................................................103 Medical Policy and Technology Assessment ..........................................................................................103 Medicare..................................................................................................................................................104 Member Rights and Responsibilities .......................................................................................................104 Modifications............................................................................................................................................104 Not Liable for Provider Acts or Omissions...............................................................................................104 Payment Innovation Programs ................................................................................................................104 Policies, Procedures and Pilot Programs ................................................................................................105 Program Incentives..................................................................................................................................105 Relationship of Parties (Employer-Member-Anthem)..............................................................................106 Relationship of Parties (Anthem and In-Network Providers)...................................................................106 Reservation of Discretionary Authority ....................................................................................................106 Right of Recovery and Adjustment..........................................................................................................106 Unauthorized Use of Identification Card..................................................................................................107 Value-Added Programs ...........................................................................................................................107 Value of Covered Services......................................................................................................................107 Voluntary Clinical Quality Programs........................................................................................................107 Voluntary Wellness Incentive Programs..................................................................................................107 Waiver......................................................................................................................................................108 Workers’ Compensation ..........................................................................................................................108 Definitions................................................................................................................................................109