Legal Notices
- Health Insurance Marketplace Exchange Notice
- HIPAA Privacy Notice
- HIPAA Special Enrollment Notice
- Medicaid and the Children’s Health Insurance Program (CHIP)
- Medicare Part D Creditable Coverage Notice 2024
- Newborns' and Mothers' Health Protection Act
- Women's Health and Cancer Rights Act
- Your Rights and Protections Against Surprise Medical Bills
Health Plan Documents
Kaiser
Kaiser
Summaries of Benefits and Coverage
- Disclosure Form Principal Benefits for Kaiser Northern California 2023
- Disclosure Form Principal Benefits for Kaiser Southern California 2023
- Summary of Benefits and Coverage for Kaiser Northern California 2024
- Summary of Benefits and Coverage for Kaiser Northern California 2023
- Summary of Benefits and Coverage for Kaiser Southern California 2024
- Summary of Benefits and Coverage for Kaiser Southern California 2023
- Summary of Benefits and Coverage for Kaiser Oregon 2024
- Summary of Benefits and Coverage for Kaiser Oregon 2023
- Summary of Medical Benefits for Kaiser Oregon 2023
Evidence of Coverage
UHC
UHC
Summaries of Benefits and Coverage
- Summary of Benefits and Coverage for Health Savings (HS) Basic Plan 2024
- Summary of Benefits and Coverage for Health Savings (HS) Basic Plan 2023
- Summary of Benefits and Coverage for Health Savings (HS) Standard Plan 2024
- Summary of Benefits and Coverage for Health Savings (HS) Standard Plan 2023
- Summary of Benefits and Coverage for Health Savings (HS) Premium Plan 2024
- Summary of Benefits and Coverage for Health Savings (HS) Premium Plan 2023
- Summary of Benefits and Coverage for Synopsys Out of Area Plan 2024
- Summary of Benefits and Coverage for Synopsys Out of Area Plan 2023
Summary Plan Descriptions
- Summary Plan Description for Health Savings (HS) Basic Plan 2023
- Summary Plan Description for Health Savings (HS) Basic Plan-California 2023
- Summary Plan Description for Health Savings (HS) Standard Plan 2023
- Summary Plan Description for Health Savings (HS) Standard Plan-California 2023
- Summary Plan Description for Health Savings (HS) Premium Plan 2023
- Summary Plan Description for Health Savings (HS) Premium Plan-California 2023
- Summary Plan Description for Out of Area Medical Plan 2023
Disability and Life Insurance
- California Voluntary Disability and Paid Family Leave Benefit Plan Document 2023
- California Voluntary Disability and Paid Family Leave Benefit Statement of Coverage 2023
- California Voluntary Disability and Paid Family Leave Benefit Plan Document 2024
- California Voluntary Disability and Paid Family Leave Benefit Statement of Coverage 2024
- Group Life Insurance Policy
- Lincoln National Life Insurance Company Merger/Name Change Notice
- Long-Term Disability Policy
- Short-Term Disability Benefit Plan Decline Coverage Acknowledgement Form
- Short-Term Disability Plan Summary Plan Description 2023
- Short-Term Disability Plan Document 2023
- Short-Term Disability Plan Summary Plan Description 2024
- Short-Term Disability Plan Document 2024