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Other Certificate Information
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Other Certificate Information
HIPAA Certificate
What is a HIPAA certificate?
A HIPAA certificate documents the medical coverage you had before you lost coverage. When you and your eligible family members enroll in a medical plan that has a pre-existing condition exclusion, you can provide the certificate to have the waiting period waived or reduced.
Information Contained on a Certificate
What type of information is on the certificate?
The certificate includes:
  • the date of the certificate
  • the plan name
  • the coverage level
  • the participant's or family member's name
  • covered family members
  • family member coverage (if it applies)
  • the plan administrator's name, address, and telephone number
  • date of loss of coverage
  • either a statement that the individual has at least 18 months of creditable coverage, or the date any waiting period began and the date creditable coverage began
  • the date creditable coverage ended (unless the certificate indicates creditable coverage is continuing as of the date of the certificate)
Requesting a Replacement Certificate
How do I get a replacement copy of my HIPAA certificate?
If you need a replacement copy, contact the MMC Employee Service Center at any time within 24 months of your coverage ending.
Timing of a HIPAA Certificate
Certificates are sent automatically if you lose or drop group medical coverage for any reason or you otherwise become covered under a COBRA continuation provision and at the time you cease to be covered under a COBRA continuation provision. You can also ask for a certificate within 24 months after your coverage ends.
Timing of a HIPAA Certificate under COBRA
Who sends a certificate if I lose coverage while I'm on COBRA?
If coverage is lost or dropped while on COBRA, Ceridian sends a HIPAA certificate for that period of coverage.
Receiving a HIPAA Certificate
Who receives a certificate?
Certificates are automatically sent to employees and/or their family members who lose Company medical coverage.
Charge for a HIPAA Certificate
Will I be charged for a HIPAA certificate?
No. HIPAA certificates are provided without charge to participants and their eligible family members.
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