Transparency in Coverage (TiC) Notice
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www.anthem.com/machine-readable-file/search |
VPCBC Health and Welfare Plan Documents
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PPO Plans 4 & 7 Plan Document |
PPO Plans SBC Appendix A |
PPO Plans SBC Appendix B |
HMO POS Plan 9 Plan Document |
HMO Plan 9 SBC Appendix A |
HMO Plan 9 SBC Appendix B |
Wellness Plan Document |
Wellness Plan Document Schedule N |
Wraparound Plan Document |
VPCBC Vision Plan Documents
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Anthem Vision Care Member Booklet |
Anthem Vision Care Group Policy |
Unicare Vision Group Policy Summary (Voluntary Vision Plan) |
Unicare Vision Group Policy (Voluntary Vision Plan) |
VPCBC Dental Plan Documents
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Delta Dental Plan - Low Option |
Delta Dental Plan Summary - Low Option |
Delta Dental Plan - High Option |
Delta Dental Plan Summary - High Option |
Life Insurance & Disability Plan Documents
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Basic Term Life Insurance Certificate |
Voluntary Term Life Insurance Certificate |
Long Term Disability Certificate |
Voluntary Term Life Reduction Schedule |
Group Life Portability & Conversion Forms
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Flexible Spending Cafeteria Plan Documents
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Roanoke College Cafeteria Plan - Summary Plan Description |
Privacy Notice - Roanoke College Cafeteria Plan Document |
Roanoke College Cafeteria Plan - Plan Resolution |
Retirement Plan Documents
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Roanoke College Defined Contribution Retirement Plan |
Roanoke College Retirement Plan Amendment Number One |
Roanoke College Retirement Plan Amendment - SECURE Act |
Summary Annual Reports
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SAR - CICV Benefits Consortium |
SAR- Major Medical- Dental |
SAR- Cafeteria Plan-Flexible Spending |
SAR- Life Insurance Plan |
SAR - Total Disability Plan |
SAR - Accidental Death |
SAR - Defined Contribution Retirement Plan |
Other Required Notices
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Healthcare Reform Exchange Notice |
Creditable Coverage Notice - Medicare Part D |
VPCBC Notice of Privacy Practices |
Other Required Benefits Notices (Women's Health Notice, and Newborns' and Mothers' Health Protection Act Notice) |
Information on Affordable Care Act Reporting Forms |
New Hire Notices (Code of Virginia, and Virginia Reasonable Accommodations Notice) |