Plan Documents & Required Notices

Transparency in Coverage (TiC) Notice

VPCBC Health and Welfare Plan Documents

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

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

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

Basic Term Life Insurance Certificate
Voluntary Term Life Insurance Certificate
Long Term Disability Certificate
Voluntary Term Life Reduction Schedule
Group Life Portability & Conversion Forms 

Flexible Spending Cafeteria Plan Documents

Roanoke College Cafeteria Plan - Summary Plan Description
Privacy Notice - Roanoke College Cafeteria Plan Document
Roanoke College Cafeteria Plan - Plan Resolution

Retirement Plan Documents

Roanoke College Defined Contribution Retirement Plan
Roanoke College Retirement Plan Amendment Number One
Roanoke College Retirement Plan Amendment - SECURE Act 

Summary Annual Reports

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

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)