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Plan Documents

Claims Forms | Enrollment Forms | Other Forms & Info | Plan Documents

Dental & Vision
Delta Dental Care Plan - M&P and Faculty
 Acrobat Reader Required
Delta Dental Care Plan - C&T, S&M and Yale Police
 Acrobat Reader Required
CIGNA Dental Care Plan
globe

EyeMed Vision Plan-Summary Plan description

Acrobat Reader Required
Medical
Yale Health Plan Members Handbook
Acrobat Reader Required
POS II Faculty and M & P Certificate of Coverage
Acrobat Reader Required
POS II High Deductible HSA Faculty and M & P Certificate of Coverage
Acrobat Reader Required
POS II w/Rx Annual Deduc C&T and S&M Certificate of Coverage
Acrobat Reader Required
POS II w/Rx copay C&T and S&M Certificate of Coverage
Acrobat Reader Required
POS II Summary Plan Booklet - Faculty and M&P
Acrobat Reader Required
POS II HSA Summary Plan Booklet
Acrobat Reader Required
POS II Summary Plan Booklet- C&T and S&M Acrobat Reader Required
Plan Amendments
Aetna POS II HSA Amendment- Routine physical Faculty and M&P
Acrobat Reader Required
Aetna POS II Amendment- Prescription plan C&T and S&M
Acrobat Reader Required

Aetna POS II Amendment- Prescription Supply C&T and S&M
Acrobat Reader Required
Flexible Spending Accounts (FSA)
Healthcare/Dental Reimbursement Plan
Acrobat Reader Required
Dependent Care Reimbursement Plan
Acrobat Reader Required
Long Term Disability - Standard
Group Policy
Acrobat Reader Required
C&T / S&M Certificate
Acrobat Reader Required
Faculty/ M & P Certificate
Acrobat Reader Required
Faculty with no YURAP Certificate
Acrobat Reader Required
YPBA and M & P with no YURAP Certificate
Acrobat Reader Required
Plan Amendments
Standard LTD w/ MAPB Amendment
Acrobat Reader Required
Standard LTD Amendment
Acrobat Reader Required
Scholarship
Scholarship Plan for Children of faculty & staff
Acrobat Reader Required
Summary Annual Reports
FY2005/2006 - SAR
Acrobat Reader Required
2006 - SAR
Acrobat Reader Required

PDF format requires Adobe Acrobat Reader which can be downloaded from www.yale.edu/software.