Required Legal Notifications
Required Legal Notifications: UT is required to provide employees the following legal notifications annually. This is for informational purposes only.
University of Toledo - Grandfathered Plan Status
The University of Toledo believes this plan is a “grandfathered health plan” under the Patient Protection and Affordable Care Act (the Affordable Care Act). As permitted by the Affordable Care Act, a grandfathered health plan can preserve certain basic health coverage that was already in effect when that law was enacted. Being a grandfathered health plan means that your plan may not include certain consumer protections of the Affordable Care Act that apply to other plans, for example, the requirement for the provision of preventive health services without any cost sharing. However, grandfathered health plans must comply with certain other consumer protections in the Affordable Care Act, for example, the elimination of lifetime limits on benefits.
Questions regarding which protections apply and which protections do not apply to a grandfathered health plan and what might cause a plan to change from grandfathered health plan status can be directed to the plan administrator at 419-530-4747.
Social Security Number Required
Due to recent regulation changes, you must provide a Social Security Number (SSN) to the UT Benefits Department for each dependent you wish to enroll in the Plan to satisfy federal reporting requirements. This condition allows UT to comply with a Medicare law requiring health plan administrators to electronically report data for covered plan participants to the Centers for Medicare and Medicaid Services (CMS).
Spouses, same and opposite sex domestic partners are not eligible to begin coverage until a SSN has been provided as part of enrollment. Coverage for dependent children will begin upon enrollment. However, if a child’s SSN is not received within 90 days of enrollment, coverage for the child will be terminated retroactive to the date coverage began. You may be required to reimburse the Plan for any expenses for which benefits were paid on behalf of an otherwise ineligible dependent.