Legal Plan Documents

 
The Summary Comparison of Medical and Dental Options gives a brief summary of the network and plan design options in the Employee Health Care Plan, as well as brief information about covered services and eligibility. The summary contains only a general description of some of the features of the Employee Health Care Plan. The exact details of the Plan are included in the Master Plan Document.

Summary Plan Descriptions

The Employee Health Care Plan Master Plan Document consists of Summary Plan Descriptions (SPDs) for each Provider Network and Plan Design Option.  The SPDs provide detailed information about covered services, eligibility, and claims processing. Links to the SPDs are provided below.  Contact the Benefits Department at (801) 581-7447 to receive a paper copy of the applicable plan documents.

• Advantage - Preferred ValueCare and Participating (PAR) Networks
• Consumer Directed Health Plan - Preferred ValueCare Network
• Dental
• Summary of Material Modifications - COVID-Related

Summaries of Benefits and Coverage

The Summaries of Benefits and Coverage (SBCs) describe each Network/Plan Design Option in a standard format created by the Department of Labor. This standard format is designed to allow individuals to compare certain coverage details among a variety of different plans.

• Advantage – Preferred ValueCare
• Advantage – PAR
• Consumer Directed Health Plan – Preferred ValueCare
• Dental

Legal Notices

The University is required by law to provide employees with several different legal notices. Notices are provided directly to employees at times required by law.

• Children’s Health Insurance Program (CHIP)
• COBRA Continuation of Coverage Rights
• Healthcare.Gov Marketplace Notice
• HIPAA Privacy Notice
• HIPAA Opt Out Notice
• Medicare Part D Notice
• Tax Form 1095-C
   

RELATED LINKS:

• Affordable Care Act and Health Coverage
• Children's Health Insurance Program (CHIP)
• COBRA Coverage
• Consumer Directed Health Plan (CDHP) & Health Savings Account
• Coordination of Medical Benefits
• Dental Coverage
• Eligibility and Enrollment
• Eligible Dependents
• Employee Assistance Program and Behavioral Health Coverage
• Fertility Benefit
• Find a Network Provider
• Preventive Services Under ACA
• Prescription Drug Coverage
• Privacy Notice
• SafeUT Crisis Text and Tip App
• Status Change Events
• Summary Comparison of Medical and Dental Benefits - University Faculty and Staff
• Summary Plan Descriptions
• Tax Form 1095-C
• University Pharmacies
• Virtual Visits