Summary Plan Description
Table of Contents
- Notice
- Statement of Purpose
- Eligibility and Enrollment
- Introduction
- Eligible Participants
- Eligible Dependents
- Enrollment Documentation
- Reciprocity and "Money Follows the Carpenter"
- Suspension of Eligibility For Noncovered Employment
- Uniform Services Employment and Reemployment Rights Act of 1994 (USERRA)
- Termination of Coverage
- Benefit Portability
- Family and Medical Leave Act
- How the Plan Works
- Preferred Provider Organization (PPO)
- Medical Review Program
- Medical Benefits
- Ambulance Transportation
- Anesthesia
- Autism Spectrum Disorders
- Bariatric Surgery
- Blood
- Chemical Dependency
- Chiropractic Care
- Dental Accidents
- Diabetic Care
- Diagnostic X-Ray and Laboratory Services
- Durable Medical Equipment
- Erectile Dysfunction
- Hearing Aids
- Home Health Care
- Home Phototherapy
- Hospice Care
- Hospital Services and Supplies
- Infusion Therapy
- Kidney Dialysis
- Medical Supplies
- Mental Health Care
- Neurodevelopmental Therapy
- Neuropsychological or Psychological Assessments or Tests
- Oral Surgery
- Orthognathic Surgery
- Orthotics
- Physical Examinations
- Physical Examinations (For Children Through Age 18)
- Physician Services
- Pregnancy Care
- Prosthetic Devices and Artificial Limbs
- Reconstructive Surgery
- Rehabilitative Care
- Religious Nonmedical Health Care Institutions
- Routine Immunizations
- Screening Tests
- Skilled Nursing Facility
- Sleep Studies
- Sterilization
- Surgery
- TMJ and MPDS Treatment
- Tobacco Cessation Program
- Transplants
- Prescription Drug Benefits
- Vision Benefits
- Dental Benefits
- Time Loss Benefits
- Life Insurance and Accidental Death and Dismemberment Benefits
- Retiree Health Reimbursement Accounts
- Claims Process
- Continuation Coverage Options
- Glossary of Terms
- General Limitations and Exclusions
- Important Information
- Claims and Appeals Rules
- Life Insurance Claims Appeal Procedure
- Rights Under the Employee Retirement Income Security Act (ERISA)
- HIPAA Privacy Plan Amendment
- Notice of Privacy Practices
- Amendment and Termination
- Benefits Not Guaranteed
- Administrative Information
- Names, Titles and Addresses of the Board of Trustees
Related Health & Security Content
Life Events
See All the Plan Rules and Forms Related to Events in Your Life