Summaries & Notices

Open Enrollment

• 2027 Open Enrollment Benefits Guide

• 2027 Plan Year Notice Packet

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Important Information for New and Current Enrollees

• Electronic Disclosure Notice – Non-Driving Employees
• Electronic Disclosure Notice – Drivers
• Benefit Plan Summary - Employee
• Benefit Plan Summary - Independent Contractor
• Benefits Enrollment Notice

• Dependent Verification/Certification Guidelines
• COBRA Notice

• HIPAA Privacy Notice
• HIPAA - Notice of Special Enrollment Rights

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Health Care Plan

• Summary of Benefits and Coverage – Employee and Independent Contractor (2027)

• Summary of Benefits and Coverage – Employee and Independent Contractor (2026)
• Summary Plan Description – Employee & Independent Contractor
• Affordable Care Act Notice

• Form 1095-C Tax Information
• Medicare Part D - Creditable Coverage Notice
• Women’s Health and Cancer Rights Act (WHCRA) Notices

• Newborns and Mothers Health Protection Act Notice
• Children’s Health Insurance Program (CHIP) Notice

• Mental Health Parity and Addiction Equity Act (MHPAEA) Notice
• Your Rights & Protection Against Surprise Medical Bills

• Link to Machine Readable Files - Medical  (Instructions to Access Machine Readable Files - Medical)

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Dental Plan

• Summary Plan Description - Employee & Independent Contractor

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Vision Plan

Exam & Materials Plan
• Summary Plan Description - Employee & Independent Contractor

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Exam Only Plan
• Summary Plan Description - Employee & Independent Contractor

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Account Plans

Dependent Care Assistance Plan
• Summary Plan Description - Employee

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Flexible Spending Account Plan
• Summary Plan Description - Employee

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Disability Plans

Long-Term Disability Insurance Plan
• Summary Plan Description - Employee
• Summary Plan Description - Employee (Washington Residents)

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Short-Term Disability Insurance Plan
• Summary Plan Description - Non-Driver Employee
• Summary Plan Description - Non-Driver Employee (Washington Residents)
• Summary Plan Description - Driver Employee
• Summary Plan Description - Driver Employee (Washington Residents)

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Voluntary Short-Term Disability Insurance Plan
• Summary Plan Description - Independent Contractor
• Summary Plan Description - Independent Contractor (Washington Residents)

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Life Insurance Plan

Basic Life Insurance Plan
• Summary Plan Description – Employee (Less than One Year of Service)

• Summary Plan Description – Employee (Less than One Year of Service)(Washington Residents)

• Summary Plan Description – Employee (One or More Years of Service)

• Summary Plan Description – Employee (One or More Years of Service)(Washington Residents)

• Summary Plan Description – Independent Contractor

• Summary Plan Description – Independent Contractor (Washington Residents)

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Voluntary Life Insurance Plan (Including AD&D)
• Summary Plan Description - Employee
• Summary Plan Description - Employee (Washington Residents)
• Summary Plan Description - Independent Contractor
• Summary Plan Description - Independent Contractor (Washington Residents)

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Supplemental Plans - Allstate/The Standard

Accident Insurance Plan
• Accident Brochure/Rates
• Summary Plan Description – Employee & Independent Contractor

• Specimen Certificate

Critical Illness Insurance Plan
• Critical Illness Brochure/Rates
• Summary Plan Description – Employee & Independent Contractor

• Specimen Certificate – With Cancer Coverage

• Specimen Certificate – Without Cancer Coverage

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Universal Life Insurance Plan
• Universal Life Insurance Brochure  |  Rates - $10,000 - $70,000  &  $80,000 - $100,000
• Summary Plan Description – Employee & Independent Contractor
• Specimen Certificate – Policies Issued Prior To October 1, 2020

• Specimen Certificate – Policies Issued As Of October 1, 2020

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Hospital Indemnity Insurance Plan

• Fixed Indemnity Notice

• Hospital Indemnity Brochure/Rates

• Summary Plan Description – Employee & Independent Contractor

• Specimen Certificate

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Flexible Benefits Plan

• Summary Plan Description - Employee

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Welfare Benefits Plan

• Summary Plan Description - Employee & Independent Contractor
• Summary Annual Report​

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Employee Assistance Plan

• Employee Assistance Program

• 🎥 - Video (English)

• 🎥 - Video (Spanish)

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401(k) Profit Sharing Plan

• Summary Plan Description – Employee (Crete)

• Summary Plan Description – Employee (Hunt)​

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