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Plan Documents & Notices

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Yale Health Plan (YHP) Life Insurance
Aetna - Faculty/M&P Long-Term Disability (LTD)
Aetna - C&T/S&M Required Disclosures
Aetna - Security Retirement
Aetna - YPBA Short-Term Disability (STD)
Child Scholarship Summary Annual Reports
Dental Summary of Benefits and Coverage (SBC)
Flex Spending (FSA) Vision


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Medical - YHP Members

Yale Health Plan Members Handbook
Acrobat Reader Required
 

For Aetna HSA participants - Click Here for Important Required Disclosures

Medical - Aetna Plan Members (Faculty and M&P)

 
Schedule
of Benefits
Benefit
Plan
Aetna (M&P and Faculty)
Acrobat Reader Required
Acrobat Reader Required
Aetna Legacy (M&P and Faculty)
Acrobat Reader Required
Acrobat Reader Required
Aetna High-Deductible w/ Health Savings Account (M&P and Faculty)
Acrobat Reader Required
Acrobat Reader Required

Medical - Aetna Plan Members (C&T and S&M)

 
Schedule
of Benefits
Benefit
Plan
Aetna Select (C&T and S&M)
Acrobat Reader Required
Acrobat Reader Required
Aetna Base Prescription (C&T and S&M)
Acrobat Reader Required
Acrobat Reader Required
Aetna Alternate Prescription (C&T and S&M)
Acrobat Reader Required
Acrobat Reader Required

Medical - Aetna Plan Members (Security)

 
Schedule
of Benefits
Benefit
Plan
Aetna Select (Security)
Acrobat Reader Required
Acrobat Reader Required
Aetna Choice POS II (Security)
Acrobat Reader Required
Acrobat Reader Required

Medical - Aetna Plan Members (Yale Police Benevolent Association)

 
Schedule
of Benefits
Benefit
Plan
Aetna Base Prescription (YPBA)
Acrobat Reader Required
Acrobat Reader Required
Aetna Alternate Prescription (YPBA)
Acrobat Reader Required
Acrobat Reader Required
Aetna Hired On or After 1-1-2012 (YPBA)*
Acrobat Reader Required
Acrobat Reader Required
*Same Benefit Plan as M&P and Faculty

Aetna Plan Amendments

Aetna Amendment: High-Deductible w/Health Savings Account (M&P and Faculty)
Acrobat Reader Required
Aetna Amendment: HSA Routine Physical (M&P and Faculty)
Acrobat Reader Required
Aetna Amendment: Routine Physicals (C&T and S&M)
Acrobat Reader Required
Aetna Amendment: Prescription Plan (C&T and S&M)
Acrobat Reader Required
Aetna Amendment: Prescription Supply (C&T and S&M)
Acrobat Reader Required
Aetna Amendment: Routine Physicals (YPBA)
Acrobat Reader Required
Aetna Amendment: Women's Preventive Health 2013
Acrobat Reader Required
 

Dental

Delta Dental Care Plan - M&P and Faculty
 Acrobat Reader Required
Delta Dental Care Plan - C&T, S&M, YPBA and Security
 Acrobat Reader Required
CIGNA Dental Care Plan
Acrobat Reader Required
.

Vision

EyeMed Vision - M&P and Faculty
Acrobat Reader Required
EyeMed Vision Policy Addendum - M&P and Faculty
Acrobat Reader Required
.

Flexible Spending Accounts (FSA)

Healthcare/Dental Reimbursement Plan
Acrobat Reader Required
Dependent Care Reimbursement Plan
Acrobat Reader Required
 

Retirement

Yale University Retirement Plan for Staff Employees
Acrobat Reader Required
Yale University Retirement Account Plan (YURAP) - M&P and Faculty
Acrobat Reader Required
Yale University Matching Retirement Plan - C&T, S&M and YPBA
Acrobat Reader Required
Yale University Tax-Deferred 403(b) Savings Plan - Universal
Acrobat Reader Required
Yale University 457(b) Deferred Compensation Plan
Acrobat Reader Required
Early Retirement Subsidy Plan for Tenured Faculty
Acrobat Reader Required
Early Retirement Subsidy Plan for Tenured Faculty – Plan Termination Notice
Acrobat Reader Required
Faculty Phased Retirement Plan (FPRP)
Acrobat Reader Required
Staff Phased Retirement Plan
Acrobat Reader Required
 

Short-Term Disability

Short-Term Disability Income Benefit Plan
Acrobat Reader Required
 

Long-Term Disability - Standard

Group Policy
Acrobat Reader Required
C&T and S&M Certificate
Acrobat Reader Required
Faculty and M&P Certificate
Acrobat Reader Required
Faculty with no YURAP Certificate
Acrobat Reader Required
Faculty and Exempt Employees Participating in the Yale Retirement Plan
Acrobat Reader Required
Faculty Not Participating in the Yale Retirement Plan
Acrobat Reader Required
Medical School Faculty
Acrobat Reader Required
Non-Exempt Employees and Police Officers Not Represented
Acrobat Reader Required
Police Officers Represented and Exempt Members Not Participating in the Yale Retirement Plan
Acrobat Reader Required

Plan Amendments

Standard LTD w/ MAPB Amendment
Acrobat Reader Required
Standard LTD Amendment
Acrobat Reader Required
Standard LTD Maximum Leave of Absence Periods - Amendment
Acrobat Reader Required
 

Life Insurance

Active and Retired C&T and S&M
Acrobat Reader Required
Active and Retired Police Officers
Acrobat Reader Required
Active Faculty
Acrobat Reader Required
Active M&P
Acrobat Reader Required
Active Postdoctoral Associates
Acrobat Reader Required
 

Child Scholarship

Scholarship Plan for Children of Faculty & Staff - Policy Document
Acrobat Reader Required
 

Summary of Benefits and Coverage (SBC) Information Notices

 
2013
2014
Yale Health Plan: Faculty, M&P, PDA, PDF
Acrobat Reader Required
Acrobat Reader Required
Yale Health Plan: C&T, S&M, Security, YPBA
Acrobat Reader Required
Acrobat Reader Required
Aetna Choice: Faculty, M&P, PDA, PDF
Acrobat Reader Required
Acrobat Reader Required
Aetna Choice: YPBA
Acrobat Reader Required
Acrobat Reader Required
Aetna Choice Health Savings Plan: Faculty, M&P, PDA, PDF
Acrobat Reader Required
Acrobat Reader Required
Aetna Choice POS II - Base Rx: C&T, S&M, Security
Acrobat Reader Required
Acrobat Reader Required
Aetna Choice POS II - Base Rx: YPBA
Acrobat Reader Required
Acrobat Reader Required
Aetna Choice POS II - Alt Rx: C&T, S&M, Security
Acrobat Reader Required
Acrobat Reader Required
Aetna Choice POS II - Alt Rx: YPBA
Acrobat Reader Required
Acrobat Reader Required
Aetna Select Network: C&T, S&M, Security
Acrobat Reader Required
Acrobat Reader Required
Legacy Aetna Choice POS II: Faculty, M&P, PDA, PDF
Acrobat Reader Required
Acrobat Reader Required
Uniform Glossary of Terms
Acrobat Reader Required
 

Summary Annual Reports & Required Disclosures

2014-2015 YURAP Annual Notice
Acrobat Reader Required
2014 YURAP Investment Options Comparative Chart
Acrobat Reader Required
2014 YURAP Summary of Plan Services and Costs
Acrobat Reader Required
2013-2014 Matching Plan Annual Notice
Acrobat Reader Required
2014 Matching Plan Investment Options Comparative Chart
Acrobat Reader Required
2014 Matching Plan Summary of Plan Services and Costs
Acrobat Reader Required
2013-2014 Tax-Deferred Annual Notice
Acrobat Reader Required
2014 Tax-Deferred Investment Options Comparative Chart
Acrobat Reader Required
2014 Tax-Deferred Summary of Plan Services and Costs
Acrobat Reader Required
Notice of Privacy Practices 9-23-2013
Acrobat Reader Required
2012 Summary Annual Reports
Acrobat Reader Required
Early Retiree Reinsurance Notice
Acrobat Reader Required
Grandfathered Health Plan Notice
Acrobat Reader Required
FY 2012-2013 Form 5500 for Staff Pension Plan
Acrobat Reader Required

Women’s Health Rights Under the Newborns’ and Mothers’ Health Protection Act of 1996 (NMHPA)

Acrobat Reader Required

Medicaid and the Children’s Health Insurance Program (CHIP)

Acrobat Reader Required

Women’s Health and Cancer Rights Act (WHCRA)

Acrobat Reader Required
2014 Notice of Creditable Coverage (NOCC)
Acrobat Reader Required
Affordable Care Act / Marketplace Notice: Covered Employees
Acrobat Reader Required
Affordable Care Act / Marketplace Notice: Non-Covered Employees
Acrobat Reader Required

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