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EMPLOYEE BENEFITS PLAN

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Required Notices

Required Notices

LOUISA COUNTY GOVERNMENT AND SCHOOLS

PLAN YEAR: JULY 1, 2023- JUNE 30, 2024

ARRANGED BY PIERCE GROUP BENEFITS

EMPLOYEE BENEFITS GUIDE TABLE OF CONTENTS

Rev. 04/05/2023 page 89 page 85 page 87 page 88 Cobra Continuation Of Coverage Rights Authorization Form Notice Of Insurance Information Practices Continuation Of Coverage for Benefits Form page 79 Additional Benefits Available page 81 Required Notices page 2 Benefits Plan Overview page 5 Online Enrollment Instructions page 28 Health Savings Account page 29 Flexible Spending Accounts page 35 Cancer Benefits page 44 Critical Illness Benefits page 52 Disability Benefits page 59 page 67 page 74 Group Accident Benefits Group Medical Bridge Benefits Life Insurance page 34 Student Loan Assistance Program

10 page 7 Health Benefits The Local Choice Contribution Schedule for The Local Choice Coverage page 17

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