The DOL includes other model forms as well. These are included in various packages the DOL has created to cover different situations. The packages include the following disclosures:
- A summary of ARRA’s premium reduction provisions.
- A form to request the premium reduction.
- A form for plans (or issuers) that permit qualified beneficiaries to switch coverage options to use to satisfy ARRA’s requirement to give notice of this option.
- A form for an individual to use to satisfy ARRA’s requirement to notify the plan (or issuer) that the individual is eligible for other group health plan coverage or Medicare.
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