DECLINATION AGREEMENTDeclination Agreement • November 10th, 2021
The Patient Protection Affordable Care Act (PPACA) mandates that employers (the County) offer group sponsored medical plan coverage to employees, regularly working full-time as defined by PPACA. By completing this form, you are electing to decline the County's group sponsored Bronze medical plan.
LEWIS COUNTYDeclination Agreement • April 5th, 2024
DECLINATION AGREEMENT FOR ESSENTIAL HEALTH PLAN COVERAGEDeclination Agreement • November 18th, 2021
The Patient Protection Affordable Care Act (PPACA) mandates that employers (the County) offer group sponsored medical plan coverage to employees regularly working full-time as defined by PPACA. By completing this form, employees are electing to decline enrollment in the County's group sponsored Bronze medical plan.
