You are here

Plan Documents and Forms

Required Notices

2018 Summary Annual Report (Benefits)

2017 Summary Annual Report (401(k) Plan)

2019 Children's Health Insurance Program (CHIP) Notice

2019 Health Plan Annual Notices

2019 Health Plan Annual Notices—Medicare Notice

2019 Medicare Part D Notice of Creditable Coverage

Benefits Guides

2019 Benefits Guide

Health

Core Preventive Drug List for High-Deductible Health Plans 2018

Kaiser 500 Plan Benefits Summary 2019

Kaiser 500 Plan Evidence of Coverage 2018

Kaiser 500 Plan Summary of Benefits and Coverage 2019

Kaiser Health Resources Guide

Kaiser Mission Bay Fact Sheet

Kaiser SF Service Area

Medicare Part D Notice of Creditable Coverage

MetLife Accident Insurance Plan Summary

MetLife Critical Illness Insurance Plan Summary

MetLife Dental Plan

MetLife Hospital Indemnity Insurance Plan Summary

MetLife Mobile App

UHC Choice Plus 1500 Plan Benefits Summary 2019—outside of Utah

UHC Choice Plus 1500 Plan Summary of Benefits and Coverage 2019—outside of Utah

UHC Choice Plus 2500 Plan Benefits Summary 2019—outside of Utah

UHC Choice Plus 2500 Plan Summary of Benefits and Coverage 2019—outside of Utah

UHC Choice Plus 500 Plan Benefits Summary 2019—outside of Utah

UHC Choice Plus 500 Plan Summary of Benefits and Coverage 2019—outside of Utah

UHC Mail Service Experience Map

UHC Mail Service Member Select program

UHC Options 1500 Plan Benefits Summary 2019—Utah

UHC Options 1500 Plan Summary of Benefits and Coverage 2019—Utah

UHC Options 2500 Plan Benefits Summary 2019—Utah

UHC Options 2500 Plan Summary of Benefits and Coverage 2019—Utah

UHC Options 500 Plan Benefits Summary 2019—Utah

UHC Options 500 Plan Summary of Benefits and Coverage 2019—Utah

VSP Lens Enhancements

VSP Vision Plan

Financial

401(k) Account Access Instructions

401(k) Summary Plan Description

MetLaw (Hyatt Legal Plans)

MetLaw (Hyatt Legal Plans) FAQs

Qualified Default Investment Alternative (QDIA) Notice