VHHSBP Non-Medical

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VHHSBP - Voluntary Hospitals House Staff Benefits Plan

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IMPORTANT NOTICE
INTRODUCTION
 Benefits Summary
 Hospital Comparison Chart

VHHSBP - Eligibility

 Eligibility
 Domestic Partners
 Domestic Partner Form
 Domestic Partner Form -- Brooklyn, SLR, Maimonides Only
 Qualified Medical Child Support Orders (QMCSO’s)
 Newborn Children (Special Rule for Coverage)
 Family and/or Medical Leave
 Leave for Military Service
 Termination of Coverage: When Coverage Ends
 Extension and Continuation of Coverage
 Extension of Medical Coverage During Total Disability
 Extension of Dental Coverage

VHHSBP - COBRA

 COBRA - Continuation Of Coverage
 COBRA At-A-Glance (Chart)
 COBRA Model General (Initial) Notice

VHHSBP - Enrollment

 Enrollment Procedures

VHHSBP - Managed Dental Guard

 Managed Dental Guard - Guardian
 Covered Dental Services and Patient Charges (Chart)
 Additional Conditions on Covered Services
 Exclusions
 Grievance Process
 Utilization Review and Utilization Review Appeal Process
 Glossary

VHHSBP - Dental Guard Preferred

 Dental Guard Preferred - Guardian
 Proof of Claim
 Rollover Provision
 Exclusions
 List of Covered Dental Services
 Group I – Preventative Dental Services
 Group II – Basic Dental Services
 Group III – Major Dental Services
 Discount on Orthodontic Services
 Definitions
 Certificate Amendment
 Required Disclosure Statement
 Appeals Process
 Group Health Benefits Claims Procedure
 Glossary

VHHSBP - Additional Benefits

 Hearing Aid Benefit
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 Optical Benefit
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 Life Term Insurance
 
 Ancillary Death Benefit
 
 Life Term Insurance For Your Spouse Or Domestic Partner
 
 Accidental Dismemberment Benefit
 
 Disability Short Term
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 Disability Long Term
 
Conversion to an Individual Policy
 Glossary

VHHSBP - General Information

 Claims Information
 Claim Review And Appeals Procedure
 Medicare And Other Government Plans
 Third Party Liability
 Other Important Information
 Plan Amendment And Termination
 Hipaa Privacy Practices
 ERISA Statement Of Rights Under The Employee Retirement Income Security Act Of 1974
 Maternity And Newborn Benefits
 Women’s Health And Cancer Rights Act 148


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