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2017 Annual Health Plan Notices

A dependent child on a medically necessary leave of absence is entitled to receive the

same Plan benefits as other dependent children covered under the Plan. Further, any

change to Plan coverage that occurs during the Michelle’s Law extension of eligibility

will apply to the dependent child to the same extent as it applies to other dependent

children covered under the Plan.

Patient Protection Model Disclosure

Medical plans generally allow the designation of a primary care provider. You have

the right to designate any primary care provider who participates in the network and

who is available to accept new members. For children, a pediatrician can be selected

as the primary care provider.

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