Legal Notices and Plan Documents

Click on the below links to locate more information on your healthcare coverage, as well your rights as a participant. To request a paper copy of any of these documents, please contact your Lacher benefits advocate.​ HSA Plan Summary of Benefits and Coverage (https://51ffe31a-367e-4d24-aee7-bc3a6db21df6.usrfiles.com/ugd/51ffe3_1f4bf23698b14be5b53f7bd2aeeb8e7f.pdf) PPO Plan Summary of Benefits and Coverage (https://51ffe31a-367e-4d24-aee7-bc3a6db21df6.usrfiles.com/ugd/51ffe3_d9365e99ff5448d295571e44796e92af.pdf)​ Summary Plan Document (https://51ffe31a-367e-4d24-aee7-bc3a6db21df6.usrfiles.com/ugd/51ffe3_28acf0dcf874442c9e71a6448a3cebfc.pdf) Special Enrollments Rights, Marketplace information, Women's Health & Cancer Rights, and CHIP Notices (https://51ffe31a-367e-4d24-aee7-bc3a6db21df6.usrfiles.com/ugd/51ffe3_9a8ad30f553f42f2ade5a9c287e3c0a2.pdf) (https://51ffe31a-367e-4d24-aee7-bc3a6db21df6.usrfiles.com/ugd/51ffe3_12b4261d8b4b4c56a1ef1949f35594bb.pdf) Your Rights and Protections Against Surprise Medical Bills(https://51ffe31a-367e-4d24-aee7-bc3a6db21df6.usrfiles.com/ugd/51ffe3_9e906883a37f45baa571737ff6606e48.pdf) HIPAA Privacy Notice(https://51ffe31a-367e-4d24-aee7-bc3a6db21df6.usrfiles.com/ugd/51ffe3_c6031cf09df54a8a96ace239e58837b8.pdf) Summary Annual Report (https://51ffe31a-367e-4d24-aee7-bc3a6db21df6.usrfiles.com/ugd/51ffe3_072c3edad9944a5d8b316a9e01f5853a.pdf)

Click here (https://51ffe31a-367e-4d24-aee7-bc3a6db21df6.usrfiles.com/ugd/51ffe3_c91fbd4c75e643debbe5b61cbcf2ba87.pdf)

Click here(https://51ffe31a-367e-4d24-aee7-bc3a6db21df6.usrfiles.com/ugd/51ffe3_c91fbd4c75e643debbe5b61cbcf2ba87.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_5e48428fa99e430fb5e9850d84336a40.pdf)to read a Privacy Notice.