Summary Plan Descriptions & Compliance Notices

Summary Plan Descriptions and Compliance Notices

Summary Plan Descriptions

• Health & Welfare Plan Summary Plan Description [PDF]
• Retiree Health Summary Plan Description [PDF]
• Retirement Plan Summary Plan Description [PDF]

Medical Insurance Plan Benefits

• High-Deductable HMO Schedule of Benefits [PDF]
• High-Deductable PPO Schedule of Benefits [PDF]

Summaries of Welfare Benefits

• Full Time Faculty and Staff Schedule A [PDF]
• Part Time Faculty and Staff Schedule A [PDF]
• Adjunct Faculty Schedule A [PDF]

Certificates of Insurance

• Delta Dental Certificate of Insurance [PDF]
• Life and AD&D Certificate of Insurance [PDF]
• Voluntary Life Certificate of Insurance [PDF]
• Long Term Disability Certificate of Insurance [PDF]

Summary Annual Reports

• Health and Welfare Summary Annual Report [PDF]
• Retirement Plan Summary Annual Report [PDF]

Summary of Material Modifications

• Suspension of Match Contribution [PDF]
• Transfer of Roth Contributions [PDF]

Required Notices

• Coverage Certificate - Medicare D [PDF]
• Medicaid and Children’s Health Insurance Program (CHIP) [PDF]
• Federal Marketplace Coverage Options [PDF]
• QDIA Annual Notice [PDF]
• Surprise Billing Model Notice [PDF]
• Machine-Readable Files
• MAPFML Notice for Employees [PDF]