Summary Plan Descriptions

• SDSURF Health & Wellness Summary Plan Description   (PDF Format, 429KB)*
  
• Amendment to SDSURF Health & Wellness Summary Plan Description (2017)   (PDF Format, 183KB)*
  
• Amendment to SDSURF Health & Wellness Summary Plan Description (2018)   (PDF Format, 183KB)*
  
• Plan Announcement For The Long-Term Disability Insurance Plan   (PDF Format, 102KB)*
  
• SDSURF Long Term Disability - Your Benefit Plan   (PDF Format, 483KB)*
  
• SDSURF Cafeteria Plan - Flexible Spending Accounts   (PDF Format, 382KB)*
  
• SDSURF Defined Contribution Retirement Plan - Summary Plan Description   (PDF Format, 481KB)*
  

Health Benefit Summaries

• Kaiser Permanente - Summary of Benefits and Coverage (Southern California) (PDF Format, 175KB)*
• Kaiser Permanente - Summary of Benefits and Coverage (Northern California) (PDF Format, 175KB)*
• 2021 Cigna - HMO Select Network - Summary of Benefits and Coverage (PDF Format, 381KB)*
• 2021 Cigna- HMO Full Network - Summary of Benefits and Coverage (PDF Format, 386KB)*
• 2021 Cigna- PPO (OAP) - Summary of Benefits and Coverage (PDF Format, 386KB)*
• SBC Uniform Glossary   (PDF Format, 90KB)*
• Health Insurance Marketplace Coverage Options
• HIPAA Privacy Notice   (PDF Format, 152KB)*
  

VEBA Plan

• SDSURF Health VEBA Plan for Post Retirement Health Care Benefits   (PDF Format, 2641KB)*
  

Other Required Notices

• Annual Voluntary Retirement Plan Universal Availability Notice
• Annual Notices Required Reading   (PDF Format, 1.30MB)*
  
• COBRA Rights
• HIPAA Notice of Special Enrollment Rights (PDF Format, 209KB)*
• 2021 Medicare Part D - Creditable Coverage Notice (PDF Format, 748KB)*
• Notice Informing Individuals About Nondiscrimination and Accessibility Requirements and Sample Nondiscrimination Statement (PDF Format, 1.08MB)*
• Premium Assistance Under Medicaid and the Children’s Health Insurance Program (CHIP) (PDF Format, 85KB)*
• Newborn & Mothers' Health Protection Act
• Qualified Default Investment Alternative (QDIA): Initial Notice to Employees
• Qualified Default Investment Alternative (QDIA) Annual Notice to Eligible Employees
• Required Notice to All Employees – City of San Diego’s Equal Benefits Ordinance
• Selecting a Primary Care Physician & OB/GYN
• SDSURF DC Retirement Plan and Investment Notice (PDF Format, 193KB)*
• Women's Health & Cancer Rights

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