Documents & Forms
Plan Documents
Summary Plan Description (SPD) and Summary of Benefits and Coverage (SBC) documents provide detailed information about the plans provided under the Employment Retirement Income Security Act of 1974. They contain the plan administrator’s identity, requirements for eligibility and participation in the plan, circumstances that may result in disqualification or denial of benefits, and the identity of insurers.
Medical
Summary Plan Description (SPD)
Health Reimbursement Arrangement SPD
Summary of Benefits and Coverage (SBC)
Health Reimbursement Arrangement SBC
Dental
Vision
Superior Vision Benefits Summary
Flexible spending accounts
Life Insurance Certificates
Basic Life and ADD &D Insurance
Disability
Disability Income Insurance </p
Disability Income Insurance (physicians)
Retirement
Compliance Notices
Medicare Part D Creditable Coverage Notice
Notice of Privacy Practices for Health Plans
