ABOUT YOUR PLAN


Information on the Enhanced Prescription Drug Benefit for Chronic Conditions

 

2016 Benefits in Brief (PDF)                                                                Plan Document 5/1/2016 (PDF)

                                                                                                                   Union University Rider 5/1/2014 (PDF)

 

Previous Year's Plan Documents

2015 Benefits in Brief (PDF)                                                                Plan Document 5/1/2015 (PDF)

                                                                                                                   Union University Rider 5/1/2014 (PDF)

 

2014 Benefits in Brief (PDF)                                                                Plan Document 5/1/2014 (PDF)

                                                                                                                   Union University Rider 5/1/2014 (PDF)


2013 Benefits in Brief (PDF)                                                                Plan Document 5/1/2013 (PDF)

 

2012 Benefits in Brief (PDF)                                                                Plan Document 5/1/2012 (PDF)

Medicare Supplement Benefits in Brief (PDF)


Plan Document 5/1/2011 (PDF)                                                          Plan Document 5/1/2010 (PDF)

 

The plan documents are readily readable with the freely available Adobe Reader, which may be downloaded directly from the Adobe website.

 

2018 Summaries of Benefits and Coverage (SBC's)

$400 Deductible Plan (PDF)                                   Copay Plan (PDF)

$1,000 Deductible Plan (PDF)                                Qualified High Deductible Plan (PDF)

 

Uniform Glossary of Health Coverage and Medical Terms (from US Department of Labor website)

 

Annual Notices

Federally Required Notices to Plan Participants (PDF)

COBRA General Notice to New Plan Participants (PDF)


Medicare Part D - Creditable Coverage Notices

2017 Medicare Part D Creditable Coverage Notice for $400 Deductible, $1,000 Deductible, Copay or QHDHP plans (PDF)

2017 Medicare Part D Non-Creditable Coverage Notice for Medicare Supplement plan (PDF)