Summary Plan Description Template

Summary plan description health and welfare benefits sample preferred provider organization ppo this document is a representative sample of the summary plan description issued by the steelworkers health and welfare fund to fund participants.

Summary plan description template. A wrap spd may encompass all of your welfare. The plan is maintained for you and your eligible dependents as long as you meet the eligibility requirements. A summary plan description spd is a document that employers must give free to employees who participate in employee retirement income security act covered retirement plans or health benefit. Any separate plan documents provided to you by harvard or any of harvards insurance.

This document together with the most recent certificates of coverage schedules of copayments benefit riders documents handouts relating to open enrollment and our employee handbook provided by sae materials inc will constitute your erisa summary plan description. Plans and issuers must provide the sbc to participants and beneficiaries at certain times including with written application materials at renewal upon special enrollment and upon request. An actual summary plan description spd will. Erisa summary plan description introduction this document presents basic information provided by the plan administrator of your plans concerning the medical dental vision life insurance and accidental death and dismemberment coverage options maintained by.

Note that while the plan also includes disability and life insurance benefits insured with unum. This is not a legally binding document. An employer must have a written summary plan description spd for each separate welfare benefit plan communicating plan rights and obligations to participants and beneficiaries. These documents must contain erisa wrapper language along with the certificate of insurance to constitute a spd.

No plan should be adopted without review and advice of legal counsel and other professional. After designing a health plan negotiating contracts and assembling a provider network hr practitioners often view the drafting of their summary plan descriptions spdsthe documents that. The summary plan description is a resource you can reference when you have a question about your medical prescription dental through the aetna dmo vision eap or prepaid legal benefits under the plan. This spd and.