Continuation of Coverage Under Federal Law (COBRA) ........................................................................ 99 Qualifying events for Continuation Coverage under Federal Law (COBRA) ....................................... 99 If Your Employer Offers Retirement Coverage .................................................................................. 100 Second qualifying event ..................................................................................................................... 100 Notification Requirements .................................................................................................................. 100 Disability extension of 18-month period of continuation coverage .................................................... 101 Trade Adjustment Act Eligible Individual ........................................................................................... 101 When COBRA Coverage Ends .......................................................................................................... 101 Other coverage options besides COBRA Continuation Coverage .................................................... 101 If You Have Questions ....................................................................................................................... 101 Continuation of Coverage Due To Military Service ............................................................................... 102 Maximum Period of Coverage During a Military Leave ..................................................................... 102 Reinstatement of Coverage Following a Military Leave .................................................................... 102 Family and Medical Leave Act of 1993 ................................................................................................. 103 General Provisions ................................................................................................................................. 104 Care Coordination ................................................................................................................................. 104 Clerical Error .......................................................................................................................................... 104 Confidentiality and Release of Information............................................................................................ 104 Conformity with Law .............................................................................................................................. 104 Contract with Anthem ............................................................................................................................ 104 Employer’s Sole Discretion.................................................................................................................... 105 Form or Content of Booklet ................................................................................................................... 105 Government Programs .......................................................................................................................... 105 Medical Policy and Technology Assessment ........................................................................................ 105 Medicare ................................................................................................................................................ 105 Member Rights and Responsibilities ..................................................................................................... 106 Modifications .......................................................................................................................................... 106 Not Liable for Provider Acts or Omissions ............................................................................................. 106 Payment Innovation Programs .............................................................................................................. 106 Policies, Procedures and Pilot Programs .............................................................................................. 107 Program Incentives ................................................................................................................................ 107 Protected Health Information Under HIPAA .......................................................................................... 107 Relationship of Parties (Employer-Member-Anthem) ............................................................................ 107 Relationship of Parties (Anthem and In-Network Providers) ................................................................. 108 Reservation of Discretionary Authority .................................................................................................. 108 Right of Recovery and Adjustment ........................................................................................................ 108 Unauthorized Use of Identification Card ................................................................................................ 108 Value-Added Programs ......................................................................................................................... 109 Value of Covered Services .................................................................................................................... 109 Voluntary Clinical Quality Programs ...................................................................................................... 109 Voluntary Wellness Incentive Programs ................................................................................................ 109 Waiver .................................................................................................................................................... 109 Workers’ Compensation ........................................................................................................................ 110 Definitions ................................................................................................................................................ 111 11