HIPAA Notice of Special Enrollment Rights

Musicians who qualify for enrollment as Participants (ʺQualified Participantʺ) with the benefit plans offered by the Professional Musicians, Local 47 and Employers’ Health and Welfare Fund (Fund) may sometimes decline enrollment in the Fundʹs benefit plans for themselves or their dependents (including their spouse) because they presently have other health insurance or group health plan coverage.

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End of Temporary Suspension of Participant Deadlines

Temporary suspensions of certain participant deadlines, such as those for electing COBRA continuation coverage, making COBRA premium payments, requesting HIPAA special enrollment after a qualifying event such as birth, adoption, or loss of other group coverage, and for filing claims and appeals, will end on July 10, 2023, which is 60 days after the end of the COVID-19 National Emergency, unless your plan specifically provides otherwise.

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Continued Access to COVID-19 Tests, Vaccines and Therapeutic Treatment with No Cost-Sharing

California state laws add six months to the federal COVID-19 public health emergency requirements on health plans to continue covering COVID-19 tests, vaccines and therapeutic treatment from any licensed provider (in- or out- of-network) with no prior authorization or enrollee cost sharing. The public health emergency ends on May 11, 2023, and state laws extend these requirements for six months through Nov. 11, 2023.

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