Plan Documents and Required Notices
Health
Medical
UnitedHealthcare – Utah
- 2023 UHC Options HSA 1500 Summary of Benefits and Coverage – Utah
- 2023 UHC Options HSA 2500 Summary of Benefits and Coverage – Utah
- 2023 UHC Options PPO 500 Summary of Benefits and Coverage – Utah
- 2024 UHC Options HSA 1600 Summary of Benefits and Coverage – Utah
- 2024 UHC Options HSA 2500 Summary of Benefits and Coverage – Utah
- 2024 UHC Options PPO 500 Summary of Benefits and Coverage – Utah
UnitedHealthcare – Outside of Utah
- 2023 UHC Choice Plus HSA 1500 Summary of Benefits and Coverage – Outside of Utah
- 2024 UHC Choice Plus HSA 1600 Summary of Benefits and Coverage – Outside of Utah
- 2023 UHC Choice Plus HSA 2500 Summary of Benefits and Coverage – Outside of Utah
- 2024 UHC Choice Plus HSA 2500 Summary of Benefits and Coverage – Outside of Utah
- 2023 UHC Choice Plus PPO 500 Summary of Benefits and Coverage – Outside of Utah
- 2024 UHC Choice Plus PPO 500 Summary of Benefits and Coverage – Outside of Utah
Kaiser
- 2023 Kaiser HMO Benefit Summary
- 2023 Kaiser HMO Summary of Benefits and Coverage
- 2024 Kaiser HMO Benefit Summary
- 2024 Kaiser HMO Summary of Benefits and Coverage
HMSA
Dental
Miscellaneous
- 2023 Annual Notices
- 2023 COVID End of Outbreak Period Extensions Model Notice and SMM
- 2023 HCSO
- 2024 Annual Notices
- Benefits Plan Summary of Material Modifications 2021
- Health and Welfare Summary Annual Report 2022
- HSA FAQ
- MetLife Accident Insurance Plan Summary
- MetLife Critical Illness Insurance Plan Summary
- MetLife Hospital Indemnity Insurance Plan Summary
- UHC Mail Service Experience Map
- UHC Mail Service Member Select program
Financial
- 2023 401(k) Summary Plan Description
- 2023 The Standard Vol AD&D Benefit Summary
- 2023 The Standard Vol Life Benefit Summary
- 2024 MetLife Accident Benefit Summary
- 2024 MetLife Critical Illness Benefit Summary
- 2024 MetLife Hospital Indemnity Benefit Summary
- 2024 Metlife Identity & Fraud Protection Booklet
- 2024 MetLife Legal Booklet
- 2024 MetLife Pet Insurance Booklet
- 401(k) Account Access Instructions
- 401(k) Rollover Form
- 401(k) SECURE Act Summary of Material Modifications 2022
- 401(k) Summary Annual Report 2021
- 401(k) Summary Annual Report 2022
- AD&D Life Summary Plan Description
- FSA FAQ
- Group and Supplemental Life Summary Plan Description
- MetLife Accident Insurance Benefit Booklet
- MetLife Critical Illness Booklet
- MetLife Hospital Indemnity Booklet
- MetLife Identity & Fraud Protection Account Set Up
- MetLife Legal Plans Booklet
- Qualified Default Investment Alternative (QDIA) Notice 2022
- Schwab Health Savings Brokerage Account with Optum
- Your Health Care Spending Card Mastercard