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Legal Notices and Plan Documents
Please see below for notices related to your healthcare and benefits provided by Klinge.
Medical Plan Summary of Benefits & Coverage:
2024 POS Plan (https://51ffe31a-367e-4d24-aee7-bc3a6db21df6.usrfiles.com/ugd/51ffe3_ba0228285c10431d90860eddb46d5b77.pdf)
2024 HSA Plan(https://51ffe31a-367e-4d24-aee7-bc3a6db21df6.usrfiles.com/ugd/51ffe3_f5d4f3e0755b42568392d5ea97519ed0.pdf)
Summary Plan Description
(https://51ffe31a-367e-4d24-aee7-bc3a6db21df6.usrfiles.com/ugd/51ffe3_d03e85c13ac14533925363830fdffa48.pdf)
Special Enrollments Rights, Marketplace information, Women's Health & Cancer Rights, and CHIP Notices(https://51ffe31a-367e-4d24-aee7-bc3a6db21df6.usrfiles.com/ugd/51ffe3_59d9418ac5f64e3e89be3815f03c3f03.pdf)
Your Rights and Protections Against Surprise Medical Bills(https://51ffe31a-367e-4d24-aee7-bc3a6db21df6.usrfiles.com/ugd/51ffe3_5638b03fc88745d08cdc9cc3911ebdf4.pdf)
HIPAA Privacy Notice(https://51ffe31a-367e-4d24-aee7-bc3a6db21df6.usrfiles.com/ugd/51ffe3_c6031cf09df54a8a96ace239e58837b8.pdf)
Other benefit information:
Short-Term Disability Policy(https://51ffe31a-367e-4d24-aee7-bc3a6db21df6.usrfiles.com/ugd/51ffe3_a8ebb68bcb7c4142bd8fdf6b81eb0e16.pdf)
Long-Term Disability Policy (https://51ffe31a-367e-4d24-aee7-bc3a6db21df6.usrfiles.com/ugd/51ffe3_6c5fab68a12f4dc1a7e3997e260dfb35.pdf)
401(k) Plan Summary(https://51ffe31a-367e-4d24-aee7-bc3a6db21df6.usrfiles.com/ugd/51ffe3_193d66bda8b447a3bce8793703a5c72c.pdf)
Click here(https://51ffe31a-367e-4d24-aee7-bc3a6db21df6.usrfiles.com/ugd/51ffe3_059a55feac894d3e83b6a4ce5f031972.pdf)
Learn more (https://51ffe31a-367e-4d24-aee7-bc3a6db21df6.usrfiles.com/ugd/51ffe3_29b306b680d0489ba608e3703bfaf021.pdf)about getting started with your United Concordia dental plan!
VSP Member Summary(https://51ffe31a-367e-4d24-aee7-bc3a6db21df6.usrfiles.com/ugd/51ffe3_635e5e9686fa4d1da90040927774009e.pdf)
VSP Pro Tec Safety Glasses Only (https://51ffe31a-367e-4d24-aee7-bc3a6db21df6.usrfiles.com/ugd/51ffe3_d1e88a8797eb4b8cb45aa0d044facbf9.pdf)
Medicare creditable coverage disclosure notice(https://51ffe31a-367e-4d24-aee7-bc3a6db21df6.usrfiles.com/ugd/51ffe3_5822f451343542128ecfdbd14ab7ce32.pdf)
Click here (https://51ffe31a-367e-4d24-aee7-bc3a6db21df6.usrfiles.com/ugd/51ffe3_ef4e473906274115a7b7630f58ee9ea0.pdf)to read a Privacy Notice.
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