11 Continuation of Coverage Under Federal Law (COBRA)..........................................................................97 Qualifying events for Continuation Coverage under Federal Law (COBRA).........................................98 If Your Employer Offers Retirement Coverage......................................................................................99 Second qualifying event.........................................................................................................................99 Notification Requirements......................................................................................................................99 Disability extension of 18-month period of continuation coverage ........................................................99 Trade Adjustment Act Eligible Individual .............................................................................................100 When COBRA Coverage Ends............................................................................................................100 Other coverage options besides COBRA Continuation Coverage ......................................................100 If You Have Questions.........................................................................................................................100 Indiana Public Employee Continuation of Coverage...............................................................................100 Continuation of Coverage Due To Military Service .................................................................................101 Maximum Period of Coverage During a Military Leave .......................................................................101 Reinstatement of Coverage Following a Military Leave ......................................................................101 Family and Medical Leave Act of 1993 ...................................................................................................102 General Provisions..................................................................................................................................103 Care Coordination ...................................................................................................................................103 Clerical Error............................................................................................................................................103 Confidentiality and Release of Information..............................................................................................103 Conformity with Law ................................................................................................................................103 Contract with Anthem ..............................................................................................................................103 Employer’s Sole Discretion......................................................................................................................104 Form or Content of Booklet .....................................................................................................................104 Government Programs ............................................................................................................................104 Medical Policy and Technology Assessment ..........................................................................................104 Medicare..................................................................................................................................................105 Member Rights and Responsibilities .......................................................................................................105 Modifications............................................................................................................................................105 Not Liable for Provider Acts or Omissions...............................................................................................105 Payment Innovation Programs ................................................................................................................105 Policies, Procedures and Pilot Programs ................................................................................................106 Program Incentives..................................................................................................................................106 Relationship of Parties (Employer-Member-Anthem)..............................................................................107 Relationship of Parties (Anthem and In-Network Providers)...................................................................107 Reservation of Discretionary Authority ....................................................................................................107 Right of Recovery and Adjustment..........................................................................................................107 Unauthorized Use of Identification Card..................................................................................................108 Value-Added Programs ...........................................................................................................................108 Value of Covered Services......................................................................................................................108 Voluntary Clinical Quality Programs........................................................................................................108 Voluntary Wellness Incentive Programs..................................................................................................108 Waiver......................................................................................................................................................109 Workers’ Compensation ..........................................................................................................................109 Definitions................................................................................................................................................110