HEALTH INSURANCE OVERVIEW <br />~~, •Non-Represented medical insurance plans is during <br />{~ <br />; employees the annual open enrollment period. <br />~~ • Non-Represented part- All open enrollment changes are <br /> time employees effective July 1St and your decision <br /> will obligate you through the <br /> following June 30th. <br /> • Mayor/City Council Retiree/COBRA Continuees <br /> members For retirees and COBRA <br /> continuees making health plan <br /> changes, follow the link below for <br /> the health insurance continuation <br /> enrollment form. <br />* PLEASE NOTE: If you are an AFSCME- <br />represented Limited Duration or Benefitted <br />Temporary Recreation (BTR) employee, your <br />" Retireea`C'~ <br />3DF~A Fc~rrt`~ <br />- <br />only health plan coverage option is , <br />= <br /> <br />medical/dental/vision coverage under the City _ <br />~' <br />Health Plan. <br />Page 2 of 2 <br />©EPENDENT COVERAGE OPTIONS <br />Along with employee coverage, you are able to enroll your legal spouse, and eligible dependent children. All <br />regular employees are able to enroll Domestic Partners. The Domestic Partnership criteria is provided in the <br />InfolResources section. <br />HIPAA Privacy Notice <br />The City of Eugene sponsors the City Health Plan, aself-insured group medical, dental and vision plan. The federal Health Insurance <br />Portability and Accountability Act of 1996 (HIPAA) restricts the City Health Plan's use and disclosure of health information in order to <br />preserve privacy for plan members. It is the policy of the City to comply fully with the health information privacy standards of HIPAA. <br />Follow this link to review the City Health Plan's HIPPA Privacy Notice: FIIPAA Privacy NOtiCe <br />http://www.ci.eugene.onus/HRRSBenefits/H1thBen.htm 4/27/2004 <br />