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<br /> <br />p <br /> <br />(0 E~ I ~AlRflt$~ <br />~! ~~--"'""~~~~ <br /> <br />March 12,2002 <br /> <br />HCFA <br />Attn: David Holstein <br />7500 Security Blvd. Room S-LI7 <br />Baltimore, MD 21244-1850 <br /> <br />RE: Election to be exempted from certain requirements under HIP AA <br /> <br />Dear Mr. Holstein: <br /> <br />The City of Paris elects that its group medical plan be exempted from the following <br />requirements of the Health Insurance Portability and Accountability Act of 1996 for the Plan Year <br />beginning October 1, 1999: <br /> <br />1. <br />2. <br /> <br />Limitations on pre-existing condition exclusion periods (146.111); <br />Special enrollment periods for individuals (and dependents) losing other coverage <br />and special enrollment periods with respect to certain dependent beneficiaries <br />(146.117); <br />Prohibitions against discriminating against individual participants and beneficiaries <br />based on health status (146.121); <br />Standards relating to benefits for mothers and newborns (section 2704 of the PHS <br />Act); <br />Parity in the application of certain limits to mental health benefits; and <br />Benefits relating to women's health and cancer rights (section 903 of the PHS Act). <br />Treatment or reduction of the non-affected breast following a mastectomy. <br /> <br />. <br /> <br />3. <br /> <br />4. <br /> <br />5. <br />6. <br /> <br />The medical benefits payable by the City's health plan are self-funded. The plan is <br />protected against catastrophic loss by aggregate and individual stop loss policies which reimburse <br />the City for medical claims paid in excess of stop loss levels. <br /> <br />The City of Paris group medical plan is identified as follows: <br /> <br />Name of Plan: <br />Plan Sponsor: <br />Plan Manager: <br /> <br />City of Paris, Texas Intergovernmental Employee Benefits Pool <br />City of Paris <br />W. E. Anderson <br /> <br />P.O. BOX 9037 · PARIS. TEXAS 75461-9037 . (903) 785-7511 · FAX (903) 785-8519 <br /> <br />r-cc..'>/'~=~ IBIT A <br />j"..... ,. ~ u <br />