Transparency in Coverage (TiC) Notice
|
| www.anthem.com/machine-readable-file/search |
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) |
