Important Documents & Notices
This page contains important information about your benefits. This page should be saved for future reference.
The following annual notices reflect that our benefits comply with applicable requirements.
Wrap Plan Documents
Under Employee Retirement Income Security Act (ERISA), the plan administrators must provide specific information about the group health benefit plans to coworkers who participate in Employee Retirement Income Security Act covered health benefit plans.
Wrap Plan Document
Wrap Summary Plan Description
Qualified Medical Child Support Order And National Medical Support Notice Administrative Procedures
Summary Plans Descriptions
Under Employee Retirement Income Security Act (ERISA), the plan administrators must provide a detailed guide to coworkers who participate in Employee Retirement Income Security Act covered retirement plans or health benefit plans.
Retirement SPD
UMR Medical SPD
Pikus Medical SPD
Summary Annual Reports
Under the Employee Retirement Income Security Act (ERISA), the plan administrator must automatically give participants a copy of the plan’s summary annual report (SAR) each year. This is a summary of the annual financial report that most plans must file with the Department of Labor. These reports are filed on government forms called the Form 5500.
Health & Welfare Benefit SAR
Retirement Savings Plan SAR
Summary of Benefits and Coverage
Under the Affordable Care Act (ACA), the medical plan administrators must provide participants with a concise document detailing, in plain language, simple and consistent information about health plan benefits and coverage.
Burgundy
Gray/HDHP
PPO
UMR Transparency in Coverage
UMR Transparency in Coverage
Other Important Documents and Notices
Medicare Part D Creditable Coverages Notice
Notice of Privacy Practices
Special Enrollment Notice
Children's Health Insurance Program Notice
Women's Health and Cancer Rights Act Notice
Newborns' and Mothers' Health Protection Act Notice
Patient Protection Disclosure Notice
Notice of Coverage Options
Nondiscrimination Provision
COBRA Continuation Coverage General Notice
Your Rights Under FMLA Notice
Your Rights Under USERRA Notice