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Benefits Plan Compliance

Required Health Plan Participant Notices  

• COBRA Notice
• Creditable Coverage Disclosure Notice (Medicare Part D Notice)
• ÑÇÖÞÇéÉ« Notice Packet which includes:
  • Women’s Health Cancer Rights Notice
  • Statement of ERISA Rights
  • Notice of Privacy Practices
  • Creditable Coverage Disclosure Notice (Medicare Part D Notice)
  • Premium Assistance Under Medicaid and the Children’s Health Insurance Program (CHIP)
  • Paperwork Reduction Act
• Health Insurance Marketplace Notice

Summary Plan Documents (SPD)

• LVAIC Group Health Plan SPD
• 2021 Flexible Benefits Plans SPD
• Non Medical Plans SPD (LTD, Life Insurance, Dental, Vision)
  • Attachment A is referred to within the medical and non-medical summary plan documents, view Attachment A here.
• ÑÇÖÞÇéÉ« Retirement Plan

Summary Annual Reports (SAR)

• Medical Plan SAR
• Non-Medical Plans SAR
• Retirement Plan SAR

Summary of Benefits & Coverage (SBC)

• PPO Plan SBC
• QHDHP SBC
• SBC Uniform Glossary of Terms