- DOL Chart of HIPAA Notice Requirements US-AHI-018
- Employer - Plan Administrator Notice to Employee of Unavailability of Continuation US-AHI-007
- Notice from Employer to Employee Regarding Early Termination of Continuation Coverage US-AHI-008
- COBRA Notice Timing Delivery Chart US-AHI-009
- Certificate of Group Health Plan Coverage with Statement of HIPAA Portability Rights US-AHI-010
- Alternative Method US-AHI-011
- General Notice of Preexisting Condition Exclusion US-AHI-012
- Individual Notice of Preexisting Condition Exclusion US-AHI-013
- Notice of Special Enrollment Rights US-AHI-014
- HIPAA Certification Requirements US-AHI-015
- Health Information Privacy Complaint for filing with Dept. of Health and Human Services Office of Civil Rights US-AHI-017
- Qualifying Event Notice Information for Employer to Plan Administrator US-AHI-006
- General Consent Form for Qualified Joint and Survivor Annuities - QJSA US-AHI-024
- Specific Consent Form for Qualified Joint and Survivor Annuities - QJSA US-AHI-025
- Waiver of the Right to be Spouse's Beneficiary US-AHI-026
- Sample Memo Announcing a New Company Benefit US-AHI-027
- Notice of Annual Report of Employee Benefits Plans US-AHI-028
- Explanation of Employee Assistance Program US-AHI-029
- Guidelines for Benefits Interviews US-AHI-030
- Comprehensive Special Tax Notice Regarding Plan Payments US-AHI-031
- Employment Benefits Package US-P2104-PKG
- Model Statement of ERISA Rights US-353EM
- Executive Employee Stock Incentive Plan US-00504
- Affidavit of Domestic Partnership for Employer in Order to Receive Benefits US-02268BG
- Affidavit of Both Domestic Partners to Employer in Order to Receive Benefits US-02269BG
- Holiday Schedule for Personnel or Employee Manual or Handbook US-0518BG
- Employment Continuation Agreement - Continuation of Employment during Winding Down of Operations US-1340732BG
- Domestic Partnership Dependent Certification Form US-153EM
- Termination of Domestic Partnership US-239EM
- Information for Alternative Method of Counting Creditable Coverage US-334EM
- Common Law Spouse or Marriage Declaration or Affidavit US-344EM
- Summary Plan Description Checklist US-352EM
- Employee Agreement - Vacation and Sick Pay US-00501
- HIPAA Notice of Privacy Practices US-355EM
- Model Notice of Blackout Periods under Individual Account Plans US-356EM
- Sample Business Associate Contract Provisions US-357EM
- Notice of Special Enrollment Rules US-359EM
- New Company Benefit Notice US-360EM
- Waiver of Qualified Joint and Survivor Annuity - QJSA US-493EM
- Model COBRA Continuation Coverage Election Notice US-AHI-002
- COBRA Continuation Waiver Letter US-AHI-004
- Notice of Qualifying Event from Employer to Plan Administrator US-AHI-005
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