Plan Documents and Legal Notices

Plan Information

Plan Name: XXXX

Policy Number: #XXXX

Effective Date: XX/XX/XXXX

Network: XXXX

Medical Documents

Year Carrier Document Name

Dental Documents

Year Carrier Document Name

Vision Documents

Year Carrier Document Name

FSA Documents

Year Carrier Document Name

Plan Information

Plan Name: XXXX

Policy Number: #XXXX

Effective Date: XX/XX/XXXX

Network: XXXX

Income Protection Documents

Year Carrier Document Name

Mental Health Documents

Year Carrier Document Name

Compliance Notices

Wrap SPD
Annual Notices
Marketplace Exchange Notice
Notice of Privacy Practices
Summary Annual Report

Plan Information

Plan Name: XXXX

Policy Number: #XXXX

Effective Date: XX/XX/XXXX

Network: XXXX

Medical Documents

Kaiser HMO Benefit Summary
Kaiser HMO SBC
Kaiser Emergency Claim Form
Aetna HMO SBC
Aetna PPO SBC
Aetna PPO Certificate
Aetna HDHP SBC
Aetna HDHP Certificate

Dental Documents

Aetna Dental PPO SBC
Aetna Dental Certificate

Vision Documents

VSP Vision Benefit Summary
VSP Vision EOC
VSP Out-of-Network Claim

FSA Documents

FlexToday Brochure
FlexToday Debit Card Flyer
FlexToday Eligible Medical Expenses
FlexToday Mobile App

Income Protection Documents

UNUM Beneficiary Designation Form
UNUM Life and AD&D Benefit Summary
UNUM LTD Benefit Summary

Mental Health Documents

UNUM EAP Work/Life Balance
UNUM Stress Resolution Flyer

Compliance Notices

Wrap SPD
Annual Notices
Marketplace Exchange Notice
Notice of Privacy Practices
Summary Annual Report