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HIPAA Special Enrollment Rights Notice

August 13, 2024 (3 min read)

Provide this HIPAA Special Enrollment Rights Notice to your employees who have become eligible to participate in your group health plans subject to the Employee Retirement Income Security Act (ERISA). Comply with ERISA by notifying your employees of their special enrollment rights under the Health Insurance Portability and Accountability Act of 1996 (HIPAA). Permit eligible employees and their dependents to enroll in your group health plans following certain specified occasions (e.g., loss of coverage or a qualifying life event).

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Related Content

  • HIPAA Special Enrollment Rights
    Guide employer sponsors of group health plans subject to ERISA using this practice note from Lexis Practical Guidance – Healthcare. Get up to speed on how HIPAA amended ERISA to require plan sponsors to allow employees to enroll themselves or their eligible dependents in group health plans. Understand how these special enrollment rules operate in conjunction with the rules that permit mid-year changes to an employee's pre-tax cafeteria plan elections under Section 125 of the Internal Revenue Code.
  • HIPAA Certification for Employer Access to Health Plan PHI
    Use this template certification for employee group health plan sponsors that anticipate handling protected health information (PHI) for plan participants. Meet HIPAA requirements which, although allowing for PHI disclosures to plan sponsors, mandate this certification and the inclusion of certain provisions in the health plan to do so.
  • HIPAA Clauses for Employer PHI Access (Group Health Plan)
    Use these clauses to satisfy HIPAA requirements that, prior to disclosing PHI to the plan sponsor, the group health plan document must restrict uses and disclosures of PHI consistent with HIPAA's Privacy and Security Rules.

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