2024 Evidence of Coverage for UnitedHealthcare® Group Medicare Advantage PEBB Balance (PPO) Table of Contents Section 10 How to make a complaint about quality of care, waiting times, customer service, or other concerns....................................................232 Chapter 10: Ending your membership in the plan............................................................... 236 Section 1 Introduction to ending your membership in our plan..........................237 Section 2 When can you end your membership in our plan?............................. 237 Section 3 Until your membership ends, you must keep getting your medical items, services and drugs through our plan.........................................237 Section 4 We must end your membership in the plan in certain situations.......238 Chapter 11: Legal notices....................................................................................................240 Section 1 Notice about governing law...................................................................241 Section 2 Notice about non-discrimination...........................................................241 Section 3 Notice about Medicare Secondary Payer subrogation rights............ 241 Section 4 Third party liability and subrogation..................................................... 241 Section 5 Member liability...................................................................................... 242 Section 6 Medicare-covered services must meet requirement of reasonable and necessary................................................................................................ 243 Section 7 Non duplication of benefits with automobile, accident or liability coverage..................................................................................................243 Section 8 Acts beyond our control........................................................................ 243 Section 9 Contracting medical providers and network hospitals are independent contractors..............................................................................................244 Section 10 Technology assessment........................................................................244 Section 11 Member statements............................................................................... 244 Section 12 Information upon request...................................................................... 244 Section 13 2024 Enrollee Fraud & Abuse Communication................................... 245 Section 14 Commitment of Coverage Decisions....................................................245 Section 15 Renew Active® Terms and Conditions................................................. 245 Chapter 12: Definitions of important words.........................................................................248 QuestionsQuestions?? Call Call CustomCustomer Serviceer Service at at 1-8551-855-873-32-873-326868, TTY , TTY 711711, , 8 a.m.-8 p.m8 a.m.-8 p.m. local time. local time, , Monday-FridayMonday-Friday

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