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Nanovev Yowmhlu

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[714) 9.7431»:

cm on: 02/11/1019

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Summary ofMaierial Modlflcatmns [0 Hanover Township.Heallh insurance ExchangeN 4Notice oi Special Enrollmeui Rights , V 6Womens Health and Cancer Nghts An (WHCRA) Noiice 7Memal Heami Pamy and Addiction Equity Act (MHPAEA) Dlsclnsme sEmployer’s CMldren’s Heami Insulance Program (CHIP) Nmice , 9Newborns‘ and Molhers‘ Health Protection Act Notice V i3Medicare Pan D MD"creditableCoverage Notice" , l4imponam Notice from Hanover annshiu About Vour Prescrlpnon Drug Cnverase andMedicare V , I4Genellc Informannn NondiscriminationAct {GINA} Disclosures. . 16USERRA Nance. I7

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when key pins olrhe heehh are Law like elleer in 201-, rhere wIll oe o new way ro buy health rrrrurarlcelhe Nulm lrreurarroeMarkuolaoe lo asslsl you is you eyeluace oorlunr lor you and your lonrlly, rhls norlreuroynles some bask rnlorrrrouon ubour rhe new Midlamlace and empbymenrhised heahh eon/eraseollereo by your employer

What Is HI:Nun]! lrwrorreemum?“Ia Marlerolaoe ls designed ro belpyou nrrd healrh lnsunm lhal nreere your needs and flu your orroger.Yhe Marlerolaoe uflels noneezoo shopphhg' ro nod and compare orr'yzle heamr .rrruranre npfluns. You mayzka be :Iiglhle lor a new lrlrru M lax creulr rharMrs your rnonrhly orerruurrr rlrom away Open enrollmenrlor heallh lnsurarree covering mmugh rhe Marmolaee begins ln Ddober 2m lor mange stinlng as earlyas January 1,2014,

can l save Moneyorr my ideal!!! Immune:Pramms lnMWUYou may uuallly m me money no Enter your rnonlhly own-um. but onhy w your employer does run ollercoverage. ormen coveragezhn doesn'r rrreer oeruln standards The savings on your orerrrlurn rhar you'reellglole lor oeoends on your household lrrcorrre.

M Employerlreonh tom-mum:mhhmhmsaflnp rhmugh rheMnrknplaaerYes. ll you have m allerolheallh mung: lrorrr your errroloyer that nreels renaln nandards, you wlll rm beellglble lor a laxmall hlrrough rhe Morlrerplaee and Ill-y wlsh lo enroll In your employer's heahh plan.however, you may be ellglue lorem credh mar lowers vuurmonrhly prerrrlurrr,ora redunlon rn eenarrrmslsmrlng rl your employer ooes um onerrxwerayemyou at all or ones not oller cmerage lhil ulcerseenaln slandlvds.mheml 0! a pl-rl lrorrr your employer that would cover you (and nal any orher membersor your family] is more man 5.5% of your household lneorne lor the year. or «lhe twang: your employeroroyldes doe: nor nreer the -rrrlrrlrrrurrryolue' Stand-rdm by meWomble Care An. you may be ellulhle far

: lax rredlr lMme: hyou pmchase a heahh olan thraogh rhe Maltelplne Instead ol aorepurrg heanh coverage owereo by

your employer, rhen you rrroy lose the employer rorrrrloullon ln anyl Io rhe employerouerencoverage. Alsor

rhu employer conrrlouriorr -as well is your ernoloyee camribulion la eruployerolrereo twang!» rr oherrexcluded lmm [Mame for Fedelal and Sula income tax wlwses Vouv paymenu '0! Lover-age ibmuy‘ "beMarkelnlace it! made on an lReHax bask

For more rnlorrnauorr about your (ovens! offered by your employer, please check your summaryPlanoeserlouon nr comm

I All errroloyereoonooreu healrh olarrmeeu rhe - rrrrnlnrurn value Standard” rrrhe plan's share olrhe Iolal allowedoenelll costs covered by rhe Dlan l3 no less rhan so perrerrr ol rum casts.

Audrey ngam11 Mumclpal Dr,Buygeuslawm Pennsvwzma 1502][721) 94779109

meMarkelplacecan help you evaluale vow coveragg opnons, Including you! ellgiMllv (or twerigemmuxhmeMaaelplam and n; can Please vsk H .l e we (or more lMomlalum, inzhfling an Dn‘lne

apollallon lor neann unsnranne emeage and coman lnlormmionem a Nezhh Ins-nameMmewlare In yourarea.

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e Emma name 5.emumtflknlmMam 15Mnanom Ywushlv 1560016555.mm. iddvess s. Empbverme... my...11 Munlclpalm (720947791097 my I; sme 9.1lv {odeBurgettsmwn Pennsyivania 15021In. WMKan meman alum Implavee maneuver-nan mlslnh:Audrey wmgaro

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Here ~s some new lnlnrmallonaboul helm! coverageoffered hy mls employs:

- u yum employer.we oiler a menu plan m:El Same emplvyees. zuglnle emplwees in.Full Hm: 30 v News

' With rusvett m dePErldems:

I?! We flu elm mange. Elilbk aependenls ale: same: 2nd chllemn

E M checked] ml; coverage meets the minimum value Slandzld, and the con ol mi: wverege w you IS

lmemledm be aflordahie, based an employeewages.Note: Even W

your emvloyef [Men-is your cavern! w be aflovdahle, le mly s‘lll be ellglble lo! a przmlumdlsmum Ihraugh Ihe Mur‘ketplac! Hoe Marketplacewill use your housihold lnmme, along wilh mhelhams, m dalefllflue whelhel you may h! eligible lor a premlumdikovnl, IV, lnr enmple, your wages virv{mm week In WEEK (perhios you are an houfly employee or you work on I mmmlssin» bans), N you innewly employedI'M-year, or llyeu have 0“!” income lmses, you may still euallly lo: a pmmlum dlscuun!

man. u} IN ‘ l n i In vwllth-III Imvlmll you are declininx enmllmem lcr youlse" a: you! flependems [Ancludlng your spouse) because 9' amevheaflh lnsurinue m xruup health plan coverage, you may be able In small yours!" and your depend-Ills ‘n

lllls plan If you 01 your dependems luse zllglhillly lor lhal cube! [wedge [or N ME employer sumsLonlrlbuhng toward your or you! dependeuu' other coverage). Noweuel, you mus! requesl enrolllnenlwlzhln 30 days alter your or you! devermenls' nther mange ends 10! alley m: emnluyev mm cankrlhullngmwam me alher coverage)Inmum, w you have a new ammm as a resull a! manhxe, mm, iflomlon, mplacemem lnr adophnn,you may be nhle m enmll yuurselfand ynur dependenls Huwmr. you mus! requesl emollmenl whhln 30divs aller [he mavrlzge, hlnh, adomlon. or placement for adom‘mu.

To ream special enmllmenl u! abliinmm mlomallon, 55mm Audrey Wingavd m :uMunkloal Dr, ,

Bursauswwn, numb/aux: 15021, (724) 947-9109.

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nwe have had or ave going (:1 have a masrmamv.yml may be emnleflm:enam benafks underlheWomen’s Heallh and Cantumum o! 1995 (wncm For ma nah receiving mas!ecmmy-relaledbenems, coveragewill bemodded m a manner delevmlned m consonanmwilh the attending phvsiclan andm: parent rm

- A“ “ages ormuslmcliou ovmemm on whkh me masmwmywas permanen-- Surgery and momrunho o! the olherman m woduce a symmemral apoemnu,. wouheses;um. mama“ bl nhyslcfll con-warm: onus mislennrny, 1mm"; Nmphqdama

mesa beams wul be provided sum“ 10me same deductiblgsm1 cainsunme apru‘mbtem other mafia!arm surgul benefits pnmded unflar mks 90m Theme, [heMama deductibles and mlnsurmu apwso dedunlhle(In-network) and 1m coinsummz (lnrnetwnrk) and $1000 deducubl: (cubed-0mm” am:an coinsuranu: (om-af-nmwom. w you would In: more Infomatlon on WHCRA benefits, all your punadmlnlslrator a11724)947~91|)9

Mum H mm,Do you know man your phn, as rem-trad nymeWomen'sNunh and Cancer mm; Ad on 19%,pnwldesbenzflvs Ior mtmomv-umed sewn: Incl-mm all stages uf reconslmlonand surlelvm amlevesymmwy bmweenm:Mum momma, andmplhlk‘ms resullln‘ ham a mnsleclnmy,Indudluglymphedema?Call your plan idmlnktralnru (124) 94779109 (orm mlommlon

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.wm '\ll (MHMI‘ HIn .lr ll!the Memzl Health Pamy and Addmm EmmyAn of zone generally requlre: ymlp health plans and healthrnsunm Issuers m ensurE mar finamlal requirements [such as copay: and dedunlbles) and lreatmmlIimrlamm [sum as Annual«91 nmiIS) anable lo memal health or substance use disorder benefits all nomore lesmuhreman [hemmlmm rzqnlremcnls m limnatlnns mm m suhslanlulw allmedlcal/smglcalbenefits. For lulamlallon ragirding me cmena 1drmaul necessllywarm-unions madeunder the Nanmn rrmumgwlh resven Io mural health 0v sum-"Le use disorder benefits, pleasecomm your plan idmlnislnluril (7109473109.

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Premium Assis‘anne under Mamid .ndthe chudren'rHealth InsunmzePmlmm (our)ll you or your children are eliglole fov Medicmd or CHIP and you're ellslble Ior heanh «wens: from youremployer, your sure may hm a premlur-nassklanm program Ihal (all help pay Ior courage, uslng landsIrorn men would or our programs. ll you or your :hlldren aren‘r ellyole lor Mooreanor our, you won'!oe tumble lor rhese premlumasslmnce programs oul you may be able lo ouy Individual lnsurance coverageInmugh Iho Health lnruranre Markelplaue. For more lnIornrarlon, vlsll ”no llunlllllup onW you oryour dependents are alreadyenrolled lnmono or CHIP and you Ilye In a sure Ilsleo oelow,roman your 5raloMedlcald or CHIP oIiIoe lo and our ll premlurn assurance ls avallable

II you (x your oependenls are nor cuwenlwenrolleo InMedia“ or CHIP, and you lhlnk you orany at yourdependents rnlghl be eliglole fur ellher oIrhese wognms, wnlacl your Slate Medium or CHIP ouke or oral1.!774ans NOW or My. mull olnlmrwyw ro find orn how ro appoy It you oualny, ask your slale If ll has aprogram rhar mlshl heln you pay Ilse mmiums hr an emplWEr-spmmd plan

Il you or your oemnoenlsare eligloIelor premlunr issuance unoer Meolmo MCNIP, is well as eflglbkunoer your employer plan, your employermus: Illorw you to enroll In your employer plan It you aren'Kalreadyenrolleo, m; I; called : 'spedal enrollment“ opponunhy, one youmm momml.

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lmemtNance fram Hanover rownshioAbout Vour Pmycmmon Drug covemge and MedrcnrePlease read rhh nouee carer-my and keep n where you can llnd h This nouoe has lnlnrmallonaoour yourcurram preserlpllondrug :werzge wilhHanover township and ahoul your nplkms under Medicare'sprescrnnion drug (Melisa lh'o lnlornialion can help you decide wmher or rlol you wanl lo join a Medicaredrug plan lnlorniarlon aoour where you can get help In nialre fledsians about your prescrlprlon drugcoverage is at lhe end ol rhrs nosloe.

there are lhree imponanl lhings you need ll) Imww ahoul your currenl coverageand Medicare'swescrimmdrugmverzgev

1 Medicare prestflptlou drugemerage oerarne availaole in was to everyone wishMedium. You cangel rho coverage il you ruin a Medicare Prescriptiml Drug Plan or inin a Medicare Advanlage Planlulu an NMO or ppm nutmfers Memliptkm drug ooverage All Medkare drug plans provide as leasra nanoard level oicoverage m by Medicare some Dims may also oller more coverage (or a highermanth'v Wflfllum

2 hanover Ywnship has necernuneo (ha! (ha prescrlouondrug coverage ollered by lhe NlnavcrIawnshln ls, on average (or all plan panldpanu, N01 expected In pay am as much as ssandardMedicare mulmhn drug coverage pays, merelore, your coverage is mnsidered llon-credhaoleCwemge this Is lrnponans because, moss likely, you wll gel more help wnh your drug oosls iryouloin a Mafiare drug plan, man l1 you only have prescriprlon drug coverage horn lhe HanoverYuwnship This also is irnponanl herause h rnay rnean mat you may pay a higher premium (ioenahyl lfyou do um loin a Medlcare drug plan when you nrsl Decor»:eligible

3, You an keep your eunenl omerage horn llunoverrovrnahln.Mm, beans: your mverege ls

non-eredllaole,you have dedslolls so nuke aoous Mediate orescrlpclon om. coverage rhal mayahen how much you pay lonhal coverage, dependlng on lfalld when you lolh a drug plan whenyou nuke your decision, you should oompare your curreni eoueaage lneludlng what-1mg; areoovered,wllh lhe ooverage and cosl el the plans dietingMedicare oreseriprlon drug coverage In

your area, Read rhls nouee iarelulvy , h :xmlm your ooluans

why Hi in ion ‘liHl {M ‘Illl or lung M iiiVou can .oln a Medlan drug plan when you first oerome ellglole fur Medicare and each year «om OdoherlS"'mDeoemher7"'

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in lmll , air iln i. Mi ly ll uslnee lhe coverageunder Ninnver anshlp, Is not credhaole, deoendlngon how long you go whhomereouaole preserlpnon drugclwerzge you may pay a penally lo pin a Medlcav: drug plan Sunny;with sheend ollhe lasl monlh lhos you were llrsl eligible to lain a Medicare drug plan bu! dMn’l loin, ll you so 53

ronsinuousdays or longer wllhour preeerlpllondrug coveragemars creditable, your rnonlhly premiummaygo up by al leasl 1% ol lhe Medlcare hase henehoary premmm per rnonlh lor every monlh lhal you dlfl norhave lhal coverage For example, nyou go nlnereen months wflhnul ereohaole coverage, your premium niayeonsrslenlly he or leasl 199‘ higher shan {he Medicare base henelloary pie

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In You may have to pay mlshigher prenuun. lpenallyl as long as you have Medicare preceriplron drug mvelage ln aodlllon. you mayhave In wan unlll lhe lollowing onooer lo iolllv

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ll you decide ro loin a Medirare dmg plan, vow curreni Hanover Township ciwelage will nor be afiecied. Planpinicinims can iieep iheir presaipflon drug (weraxe under lire anurp healrh plan it they reieci MedicarePan 0 prescrivliondrug mverage. ll lhey seieei Medicare Pm o preerripiiondingmange, me groupheahh plan prescrlmlori drug coverage will mordinaie wnh iheMedlfia Pan 0 prescrlmiondrug Lwerageii you do deride io imn a Medicare drug plan and drop vow curreni Nmovel Yownshln (average, oe awarerhai you and your devendenls will he ahie m .er rhis revenge back

in n .iiii ii in in ilrimi liri \‘i in” ii \rnn i nil in ~i iiiynlmviiiii

cornaer rhe person lined oeiow iurfunhel iniorrnauonAudlev Wingard ar (72:) 947-9109 now: You’ll gel(his notice each year You wlll also 391 h oeiore rne Mn period you ran ioin a Medimre drug pian and mm;coverage through Hanover Yownshln changes, You also may requesr a mpy onhis nohiee ar any rinre.

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i,More deleiied informaiionaborn Medicare plans ihal oller mulpllnn drug ooverage is in me 'Medirare l.lion~ handbook Ym’llgel a copy eirhe handbook in rhe niail every year fromMedicare You may also herammed direeily by Medicare drug phns Fm more inlonnailon aboul Medicare prescripiiondrugcoverage:

. Vlsllwwwr iliialejilx

. Cali yoanlareHealth insuranceAsslsfimz menm iseerhe inside hadr awe! onour copy oi rile'Medicare & Vou' handbooklor iheirceiephone number) lor personalired help

a can l-msmmi “mannimusersshonid rail 141774352013.ll you have lirnhed lnoarne and moo-oer,um help paying lorMedieare premipnion drug coverage3available Fat iniornmion ibounlib earra help, vbn Sud-I security on ihe web ar www ) Maherrnnv ion, orrail rhern an moo-7714213 rrrv irwazsonsl.

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CoulanraPosnkmlO'ficz’AudrevWlmm, SecreuwAddress- 1: Municipal or, ,aurpensrown, Pennsywxrlla 1501]phone Number: (724190»91D9

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lllll mm M‘HllllllThe Gene'lr lnlmmallon uondlsmmlrulmn Act 01 man l‘GINA'l armed: Employees again“ dismmnamnbased onmengenem mlnmmlm unless mherwise pevmmed, your Emukwu may not requen0' requlreany genwc Iniamlaxidn lmm you of your Izmlly members.

me Genem Inhrmallon NondlschlnahMm m zooslGlNA) war-[bits emplwen and other enmleswverad m GINA rule ll 1mm venuesnngnr maulrlnggendk lnfnmullnn ol an lndwldual orlamlry memberor the mividuzl, Excem u sneemcally allowed by! law. To camp»,wnn mls liw, we are asldnlmal youMl prm-de any genetk ‘nlomlallon when respondlngto ma request for medial lulurmuaou. 'Gemk|nlnrmailon,' as defined by Glml. Includes an Indwlduirs family medical hlslory, me resuhsa in imfwidual'sor lamlly mamber’x genem leSB, me ha ml in indwlduilm In lmmduars lamflv membetmm av«(lived geneuc sen/hes, and iznllk )Momlmian D' a fem; am by an lndelnlor an indvvkinal‘s Iamllymember or an embwd hwfulN held by an lndeual or hmlly member mmivinxasslsme nnmdumvesewlues

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W I M! ‘l

miniYour Rights Under ussmu

A. The Uniformed Services Employmem and Reemploymem Rights Aci

usmn proreerswe .ob "gm: 0! mdryiuuais wno vuluminly or vauminly leave empmymem posmons Inundenzke milllaw Sewtce or (Hum \vpes of service in [he Nalmnil Dislsler Madicii Sysumv USENM akapronilsns employers imm oemmrnmlng against our and presens members oi me unmanned services. andawllanls io me unliorrned services.

a. Reemploymenl Rights

vou have live righi in be reernplayed in you! eMll-n lab Wynn leave um lab in perfnrm service In (it:unmanned serylce and:

- You ensure am your employer receives advancewnnen orverbel noose oi yam selvine;

- you neye rnre years or less M cumumiye xevvke in the unnamed servkzs while men that penieuleremployer;

- You mum to work or am in! reenlploymenl in e lirnery nunnermerconelunonmeme; and. You have run been separaied lmrn service wnh e disqualifying dlschivge or under omerthin

honmhl: eondmons

"vim are eligiblem be reempbyzd, you musi be restored lo theM .nd benems you would rme amined w

you hit! um been absent due to mflkaw save: or, in some uses, amnpanMe poo.

CV Right To Be Free From Discrimination and Retaliation

“vow

Are a pas! or wzsemmember ofuse unnamed service;usye awikd fur niernoerslno in me uniformed seryioe; aAre dimmed m grew: in use uniformed service; men In emolwermay nor deny youInhlal emoloymenl;Reempioymenl;Releminn ln mph/mepmmorlon; orAny benern olemploymerlt because ofrnls smus

ln add-lion, an ernpwyer may nor resume agalnn anyone assisilng in me eniureerneni or usem rigms,including tesllfylnl or maklng e srelernem in mnnection wilh a proceedlngunder USERRA, 94:" ii menperson has no serulee conneelion

l7

D, Health Insurance Protection

. "you leave yourwow per'nvmmu‘nary servke. you hm me run: In elea m conllnue you! Exlmngemployepoaseo health pbn awemge iar you and youmepenoenu rm up {0 24 months w m mem. ory

- Even w you do no! emm mnflnue coverageduring you! mlmary semce. you have me mm m bemum-ted In your :mpluver's Mann man when you am mmplnved. genemlry wllhoul any wailingpefluds or exclusion: I: 5 , we-ensung condnm emusnons) excem fur sewacuonneaeo “messesor )n‘unes

E. EniDrcement

- me uvs Denanmnl unzhar, Vezevm‘ Emptoymem and mining Sewn: (vns) Ls aulhorlud Inlrwesmale and resorye mmptamu M USERRA muons.

For “shunt! m flung amum, or in! any omer lnromunon on usemm commvars at IVWVUSAVnot or yisn Its Weome al army/www.ngoy/veu. An meraulve annne ussmu AMsorcan be viewed 31http.//www.doLgov/elaws/uxymmm

- It you me a oomooolmwithVHS and VHS ls unablemmane n, you may Izquesl um your case berevened m me Depamnenl onusnce or me ounce M Snedal Counsel, as lupflclhk, larrepresnmanon

- You may aka bypass the vrvs process and own; 3 (MI min" against an empuoyermwomhns o0

USERM

the rum: kind ham may vuy depending on me dvulmsnnms,Yhe Ian onms nonee was prepared byvzvs, mu may too flawed M the Interim a! Ihb address:"HDJ/www.dol.gov/VEKS/pruqmmJ/usem/puner.m, Federal w ream:mm m nmlly empaoyeesoi men rim: undev usmm am amplwers may meg! m5 requhemem by dlsplaylnglhe (an ollhlsmutewhen uney :ustomarfiy piece mmces for employees u.s Depinmenlofmm, Veierans' Emmymenl andTrainlns Service, mama-2155,

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