Plan Documents & Required Notices

Transparency in Coverage (TiC) Notice

VPCBC Health and Welfare Plan Documents

2022 VPCBC Summary of Material Modification
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
Anthem Vision Care Member Booklet 
Anthem Vision Care Group Policy
Unicare Vision Certificate (Voluntary Vision Plan)
Unicare Vision Group Policy (Voluntary Vision Plan)
Wellness Plan Document
Wellness Plan Document Schedule N
Wraparound Plan Document

Ameritas Dental Plan Documents

Ameritas Dental Plan - Low Option
Ameritas Dental Plan - 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
Roanoke College Cafeteria Plan - Summary of Material Modification

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 Notices ( Women's Health Notice, and Newborns' and Mothers' Health Protection Act Notice) 
Information on Affordable Care Act Reporting Forms