Plan Documents

Plan Documents

The following important documents can be obtained by logging in to the Employee Benefits Service Center.
 
Or, you can click “Contact Us” on the right to submit your request by e-mail, or call 866-545-3756.
 
Medical Plan
  • Summary of Benefits and Coverage (SBC)
  • Summary Plan Description (SPD)
  • Summary of Material Modifications (SMM)
 
Dental Plan
  • Dental Plan Booklet
 
Life and Disability
  • Life and AD&D Certificate of Coverage
  • Short-Term Disability Certificate of Coverage
  • Long-Term Disability Certificate of Coverage
 
401(k) Plan
  • Summary Plan Description
 
Employee Assistance Program (EAP)
  • Summary of Benefits and Coverage (SBC)​
  • Summary Plan Description (SPD)
 
Group Legal Plan
  • Summary Plan Description (SPD)
 
Other Notices
  • Medicare D Notice of Creditable/Non-Creditable Coverage
  • HIPAA Notice of Privacy Practices
  • Children’s Health Insurance Program (CHIP) Notice​
Contact Us