Benefit Summary Plan Descriptions

A Benefit Summary Plan Description (SPD) is a comprehensive document which advises plan participants and their beneficiaries of their rights and obligations under the plan. The document provides a basic written source of data to employees and their beneficiaries on plan benefits requirements for obtaining benefits and limitations on benefits.

To view the summary plan descriptions and other important notices click on the appropriate coverage link for health insurance, dental insurance, life insurance, flexible spending accounts or 403b retirement account.

The Summary Plan Descriptions (SPDs) are in a PDF format (Acrobat Reader) and bookmarks have been established to assist in navigating through the documents. Once the document is opened, click the Bookmark icon on the toolbar and the bookmarks will appear in a window on the left side of the document. Select the appropriate link for information.

UnitedHealthCare Summary of Benefits & Coverage (SBC's) are available for each plan:

2024

• Core 
• Basic
• Plus
• HDHP

2023

• Core
• Basic
• Plus
• HDHP w/ HSA

UnitedHealthCare

Group Health Plan Information Summary & Certificates of Coverage (Booklet) for UHC medical insurance

Core Summary      Basic Summary      Plus Summary     HDHP w/HSA Summary

 

Cigna Dental

DPPO

• DPPO Certificate

DHMO

• DHMO Certificate

Texas Dental Coverage Riders

• Texas Coverage

AlwaysCare Vision

•  AlwaysCare Vision SPD

WageWorks FSA

• Flexible Spending Accounts SPD

Aetna Horizon Health

• Employee Assistance Plan SPD

Lincoln Financial Group - Life and AD&D Insurance

• Group Life Insurance - Group Term Life (GTL) Certificate
• Voluntary Term Life
• Retiree Term Life
• Voluntary Accidental Death & Dismemberment (AD&D) - Employee Only
• Voluntary Accidental Death & Dismemberment (AD&D) - Family

Lincoln Financial Group - Long Term Disability (LTD)

• Long Term Disability (LTD) - Taxable 
• Long Term Disability (LTD) - Non-taxable  

AFLAC - Voluntary Coverages

TIAA- CREF

• QDIA Notice
• Quarterly Investment Update 2020 3rd quarter
• Quarterly Investment Update 2020 3rd quarter- Supplemental Retirement Plan

Retirement

• 403B Retirement Plan Summary Plan Description (SPD)
• 403B Supplemental SMM - Heart Act
• 403B Supplemental GRA SMM - WRERA
• 403B Mandatory Plan 2021 Amendment SMM
• 403B Supplemental Plan 2021 Amendment SMM

To request a paper copy of a summary plan description for any of the coverages listed above or additional information, please do not hesitate to contact a Benefits Representative in the Human Resources Department at 504-864-7757.