City of Marquette

  • City of Marquette

    Acknowledgement of Review and Receipt of Benefits Notices

  • I acknowledge that I have received and reviewed the following benefits notices provided by the City of Marquette and are available on the City Employee Website:

    Summary of Material Modifications
    Health Insurance Exchange Notice
    Notice of Patient Protections
    Notice of Special Enrollment Rights
    Notice of Privacy Practices
    Women’s Health & Cancer Rights Act (WHCRA) Notices
    Mental Health Parity & Addiction Equity Act (MHPAEA) Disclosure
    Employer Children’s Health Insurance Program (CHIP) Notice
    Newborns’ and Mothers’ Health Protection Act Notice
    Medicare Part D Creditable Coverage Notice
    Genetic Information Nondiscrimination Act (GINA) Disclosures
    General Notice of COBRA Rights
    General FMLA Notice
    Uniformed Services Employment and Reemployment Notice

  • Date Format: MM slash DD slash YYYY