main contentBenefits 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

 

2025 Kaiser HMO Summary of Benefits

2025 Kaiser HMO Plus Summary of Benefits

2025 Kaiser Added Choice Summary of Benefits

2025 Kaiser HDHP Summary of Benefits

2025 Kaiser Dental Summary of Benefits

2025 Willamette Dental Summary of Benefits

2025 Delta Dental Summary of Benefits

2025-2026 COBRA Schedule of Services and Fees

 

Plan Documents

 

Allegiance - Plan Document for the Flexible Benefits Plan

Allegiance - Plan Document Amendment 3-31-2014

Willamette - Certificate of Coverage 4-1-2025

Willamette Dental - Rate Amendment 4-1-2025

Willamette - Accompanying Notices 4-1-2025

Delta Dental - Group Policy

Unum - Long Term Disability Group Policy

Unum - Group Life Insurance and AD&D Policy

Unum - Accident Insurance Policy

Unum - Critical Illness Policy

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