EMBRACE CHANGE Have Questions? Just Call. Mid-Year Adjustments This stuff can get complicated fast, Once you make your enrollment decisions you can’t change your mind until next year’s Open but we’ve got your back. Call the CPK Enrollment. Sorry, we know it’s disappointing, but the IRS won’t let you. Enrollment Center at 877-CPK-BENE (877-275-2363) and we’ll be happy to There’s an exception, though. If you experience a big change in your life, also known as a “qualifying sort it all out. life event” (the IRS again, don’t ask), you are allowed to make changes. These big life events include: l Marriage, divorce, or domestic partnership changes l Birth or adoption of a child l Change in eligibility, for either you or a dependent Skip to the Ending? l Death of a covered dependent We’re really proud of this If you think any of these apply to you, be sure to call 877-CPK-BENE. Please note, as of March 1, 2020 and we hoped you’d read it all. But if deadlines for notifying CPK of a HIPAA special enrollment event (i.e., birth, adoption, marriage, loss of you’re absolutely, positively sure you’re other coverage and Medicaid/CHIP events) has been extended. Due to the national emergency relating ready to enroll now, see page 18. to COVID-19, federal regulators have issued guidance that requires the Plan to disregard the “outbreak period” (as defined below) when determining the deadline to provide notification of HIPAA special enrollment events and other plan related deadlines. The “outbreak period” is defined as the period that began from March 1, 2020, through 60 days after the announced end of the COVID-19 “National Emergency”. You can disregard, or toll, this “outbreak period” for purposes of calculating the normal 30-day notification period (or 60 days if losing Medicaid/CHIP coverage) for HIPAA special enrollment events. If you have more questions about the notification extensions, please contact the CPK benefits department. Maintaining Coverage Coverage begins on January 1, 2022 and runs through December 31, 2022 except: l If your employment ends, your medical and dental coverage will too at the end of the month in which you terminate. l If at any time the full deduction can’t be taken from your paycheck, it then becomes your responsibility to submit payment to CPK in order for your insurance coverage to stay in effect. If payment is not received, coverage will be terminated upon notice. For questions regarding your balance or payment, please contact the People Care team at 310-342-4672. 5