Benefits Legal Notices

 

Legal Notices

 

WHRCA Notice

CHIP Notice

Health Insurance Marketplace Notice

Notice of Privacy Practices

Medicare Part D Creditable Coverage Notice

COBRA Continuation Coverage Rights

2018 SAR - 403(b) TIAA

2019 SAR - Group Insurance Plans

2024 TIAA Annual Notice

 

Summary Plan Descriptions

 

2019-2020 SOB - Medical Kaiser HMO

2019-2020 SOB - Medical Kaiser Added Choice

2019-2020 SOB - Medical Kaiser Added Choice High Deductible Health Plan

2019-2020 SOB - Dental Kaiser

2019-2020 SOB - Dental Willamette

2019-2020 SOB - Delta Dental 

2019 SPD - TIAA

 

Plan Documents

 

Allegiance - Plan Document for the Flexible Benefits Plan

Allegiance - Plan Document Amendment 3-31-2014

Willamette - Certificate of Coverage

Willamette - HIPPA Privacy Policy

Delta Dental - Group Policy

LifeMap - Group Life, Dependent Life and AD&D Certificate of Coverage

LifeMap - Group Long Term Disability Certificate of Coverage

Life Map - Voluntary Life, AD&D, and LTD Buy-up Coverage

TIAA Plan Document - please request by contacting HR@lclark.edu

 

Medicare Part D Creditable Coverage Disclosure Notices

 

2009 Medicare Part D Creditable Coverage Disclosure Notice

2010 Medicare Part D Creditable Coverage Disclosure Notice

2011 Medicare Part D Creditable Coverage Disclosure Notice

2012 Medicare Part D Creditable Coverage Disclosure Notice

2013 Medicare Part D Creditable Coverage Disclosure Notice

2014 Medicare Part D Creditable Coverage Disclosure Notice

2015 Medicare Part D Creditable Coverage Disclosure Notice

2016 Medicare Part D Creditable Coverage Disclosure Notice

2017 Medicare Part D Creditable Coverage Disclosure Notice

2018 Medicare Part D Creditable Coverage Disclosure Notice

2019 Medicare Part D Creditable Coverage Disclosure Notice

2020 Medicare Part D Creditable Coverage Disclosure Notice