HSBP HHC

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HSBP - House Staff Benefits Plan

SPD Download Entire Booklet

Letter from the Chair of the Board of Trustees
Benefits at House Staff Benefits Plan Hospitals
Summary of Benefits
Procedure for Filing Claims

HSBP - Eligibility

Eligibility
 Qualified Medical Child Support Order
 Change in Family Status
 Termination of Coverage
Extension and Continuation of Coverage

HSBP - Enrollment

 Enrollment Procedures

HSBP - COBRA

COBRA Continuation Coverage

HSBP - Benefits

Accidental Dismemberment Benefit
Dental Benefits Chart
Guardian Managed Dental Guard
 Covered Dental Services and Patient Charges
 Grievance Process
 Glossary
Guardian Dental Guard Preferred
 The Benefit Provisions – Qualifying for Benefits
 Payment Rates
 List of Covered Dental Services
 Glossary
Supplemental Dental Benefit - Supplemental Dental Download Claim Form
Disability – Short Term - Short Term Disability Short Term Disability
Disability – Long Term
Converting Your Group Long Term Disability Income Insurance
Continuation of Benefits While You are Disabled
Hearing Aid Benefit - Hearing Aid Download Claim Form
Life Term Insurance
Life Term Insurance for your Spouse or Registered Domestic Partner
Supplemental Major Medical Benefit - Supplemental Major Medical Download Claim Form
 Reconstructive Surgery in Connection with a Mastectomy
Mental Health Outpatient Benefit - Out-Patient Psychiatric Download Claim Form
Newborn Benefits - Newborn Expenses Download Claim Form
Childbirth Education Benefit - Child Birth Education Download Claim Form
Supplemental Obstetrical Benefit - Supplemental Obstetrical Download Claim Form
Optical Benefit - Optical Reimburesement Download Claim Form
Smoking Cessation Benefit - Smoking Cessation Download Claim Form
Substance Abuse Counseling and Treatment Benefit

HSBP - HHC Only

Conference Reimbursement Benefit - Conference Download Claim Form

HSBP - General Information

Coordination of Benefits with Other Plans
Review of Claim Denial
Decision of Review
Liens, Lawsuits and Compensable Sources
HIPAA Privacy Practices
General Provisions
Claims Review and Appeal Procedure
Statement of Participant Rights

HSBP - Addendum

Domestic Partner Requirements for adding a Domestic Partner as a dependent


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