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Human Resources

Benefit Legal Notices

 
Legal Notices

 

2016 Annual Legal Notices

2016 COBRA Continuation Coverage Rights

2017 SAR - 403(b) TIAA

2017 SAR - Pioneer Educators Health Trust (PEHT) 

2016 SAR - Group Insurance Plans 

2018 TIAA Annual Notice

 

Summary Plan Descriptions

 

2018-2019 SOB - Medical PEHT (Regence)

2018-2019 SOB - Medical Kaiser HMO

2018-2019 SOB - Medical Kaiser Added Choice

2018-2019 SOB - Dental PEHT (Regence)

2018-2019 SOB - Dental Kaiser

2018-2019 SOB - Dental Willamette

2017-2018 SPD - TIAA

 

Plan Documents

 

PEHT - 2016 Notice of Privacy Practices

PEHT - 2016 HIPAA Privacy Policy

PEHT - 2016 Security Policy

PEHT - 2016 Medical Plan Document

PEHT - 2016 Dental Plan Document

Regence - Group Policy Manual

Allegiance - Plan Document for the Flexible Benefits Plan

Allegiance - Plan Document Amendment 3-31-2014

Willamette - Certificate of Coverage

Willamette - HIPPA Privacy 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