; and (II) not later than 60 days after the date the plan receives the notice described in clause (i), in the case the plan does not receive confirmation for an enrollee pursuant to such clause, submit to the Secretary of Labor the name of the enrollee and efforts to notify and receive confirmation from the enrollee. (ii) Privacy considerations In carrying out this subparagraph, the group health plan shall take measures to ensure that information as may be specifically permitted or required under other applicable provisions of law, including HIPAA privacy and security law as defined in section 3009(a) of the Public Health Service Act ( 42 U.S.C. 300jj–19(a) ) is not made public under this subparagraph. (D) Requirement for first day of coverage In the case of an eligible individual (as defined in subparagraph (C) of section 1311(c)(8) of the Patient Protection and Affordable Care Act) who is a covered employee and who— (i) enrolls in a qualified health plan through an Exchange during a month during the special enrollment period described in subparagraph (A) of such section— (I) coverage under a group health plan shall terminate on the last day of the such month in which the eligible individual so enrolls in the qualified health plan; and (II) coverage under the qualified health plan shall be determined in accordance with section 1303(e)(2) of such Act; or (ii) enrolls in a different group health plan offered by the employer of the covered employee pursuant to the special enrollment period described in subparagraph (A)— (I) coverage under a group health plan shall terminate on the last day of the such month in which the eligible individual so enrolls in the qualified health plan; and (II) coverage under the different group health plan offered by the employer of the qualified beneficiary shall be effective beginning on the first day of the first month succeeding the month of termination of coverage described in subclause (I). .