Plan Documents & Notices

Medical - YHP Members


Medical - Aetna Plan Members (Faculty and M&P)

  • Aetna Smart Care w/ optional Health Savings Account (Faculty and M&P) - Schedule of Benefits / Benefit Plan
  • Aetna Choice (Faculty and M&P) - Schedule of Benefits / Benefit Plan
  • Legacy Aetna Choice (Faculty and M&P) - Schedule of Benefits / Benefit Plan

Medical - Aetna Plan Members (C&T and S&M)

  • Aetna Select (C&T and S&M) - Schedule of Benefits / Benefit Plan
  • Aetna Base Prescription (C&T and S&M) - Schedule of Benefits / Benefit Plan
  • Aetna Alternate Prescription (C&T and S&M) - Schedule of Benefits / Benefit Plan
  • Yale University Physician Results

Medical - Aetna Plan Members (Security)

  • Aetna Select (Security) - Schedule of Benefits / Benefit Plan
  • Aetna Choice POS II (Security) - Schedule of Benefits / Benefit Plan

Medical - Aetna Plan Members (Yale Police Benevolent Association)

  • Aetna Base Prescription (YPBA) - Schedule of Benefits / Benefit Plan
  • Aetna Alternate Prescription (YPBA) - Schedule of Benefits / Benefit Plan
  • Aetna Hired On or After 1-1-2012 (YPBA) - Schedule of Benefits / Benefit Plan - (* Same Benefit Plan as M&P and Faculty)

Aetna Plan Amendments

  • Aetna Amendment: High-Deductible w/Health Savings Account (M&P and Faculty)
  • Aetna Amendment: HSA Routine Physical (M&P and Faculty)
  • Aetna Amendment: Routine Physicals (C&T and S&M)
  • Aetna Amendment: Prescription Plan (C&T and S&M)
  • Aetna Amendment: Prescription Supply (C&T and S&M)
  • Aetna Amendment: Routine Physicals (YPBA)
  • Aetna Amendment: Women’s Preventive Health 2013

Dental

  • 2016 Delta Dental Care Plan - M&P and Faculty
  • 2016 Delta Dental Care Plan - C&T, S&M, YPBA and Security
  • 2015 CIGNA Dental Care Plan

Vision

  • 2015 EyeMed Vision - Basic plan for all benefits-eligible Faculty and Staff
  • 2015 EyeMed Vision - Enhanced plan for all benefits-eligible Faculty and Staff

Flexible Spending Accounts (FSA)

  • Healthcare/Dental Reimbursement Plan
  • Dependent Care Reimbursement Plan

Retirement

  • Yale University Retirement Plan for Staff Employees
  • Yale University Retirement Account Plan (YURAP) - M&P and Faculty
  • Yale University Retirement Account Plan Summary Plan Description
  • Yale University Matching Retirement Plan - C&T, S&M and YPBA
  • Yale University Matching Retirement Plan Summary Plan Description
  • Yale University Tax-Deferred 403(b) Savings Plan - Universal
  • Yale University 457(b) Deferred Compensation Plan
  • Early Retirement Subsidy Plan for Tenured Faculty
  • Early Retirement Subsidy Plan for Tenured Faculty – Plan Termination Notice
  • Faculty Phased Retirement Plan (FPRP)
  • Staff Phased Retirement Plan

Short-Term Disability

  • Short-Term Disability Income Benefit Plan

Long-Term Disability - Standard

  • Group Policy
  • C&T and S&M Certificate
  • Faculty and M&P Certificate
  • Faculty with no YURAP Certificate
  • Faculty and Exempt Employees Participating in the Yale Retirement Plan
  • Faculty Not Participating in the Yale Retirement Plan Medical School Faculty
  • Non-Exempt Employees and Police Officers Not Represented
  • Police Officers Represented and Exempt Members Not Participating in the Yale Retirement Plan
  • Standard LTD w/ MAPB Amendment
  • Standard LTD Amendment
  • Standard LTD Maximum Leave of Absence Periods - Amendment

Life Insurance

  • Active and Retired C&T and S&M
  • Active and Retired Police Officers
  • Active Faculty
  • Active M&P
  • Active Postdoctoral Associates

Group Accident Insurance

  • Colonial Group Accident Certificate

Child Scholarship

Scholarship Plan for Children of Faculty & Staff - Policy Document


Summary of Benefits and Coverage (SBC) Information Notices

  • Yale Health Plan: Faculty, M&P, PDA,
  • Yale Health Plan: C&T, S&M, Security
  • Yale Health Plan: YPBA
  • Aetna Choice: Faculty, M&P, PDA
  • Aetna Choice: YPBA
  • Aetna Choice Health Savings Plan: Faculty, M&P, PDA
  • Aetna Choice POS II - Base Rx: C&T, S&M
  • Aetna Choice POS II - Base Rx: Security
  • Aetna Choice POS II - Base Rx: YPBA
  • Aetna Choice POS II - Alt Rx: C&T, S&M, Security
  • Aetna Choice POS II - Alt Rx: YPBA
  • Aetna Select Network: C&T, S&M
  • Aetna Select Network: Security
  • Legacy Aetna Choice POS II: Faculty, M&P, PDA
  • Uniform Glossary of Terms

Summary Annual Reports & Required Disclosures

  • 2015 YURAP Annual Notice
  • 2015 YURAP Investment Information
  • 2015 Matching Retirement Plan Annual Notice
  • 2015 Matching Retirement Plan Investment Information
  • 2015 Tax-Deferred 403(b) Savings Plan Annual Notice
  • 2015 Tax-Deferred 403(b) Savings Plan Investment Information
  • Notice of Privacy Practices 9-23-2015
  • 2014 Summary Annual Reports
  • Early Retiree Reinsurance Notice
  • Grandfathered Health Plan Notice
  • FY 2013-2014 Form 5500 for Staff Pension Plan
  • Women’s Health Rights Under the Newborns’ and Mothers’ Health Protection Act of 1996 (NMHPA)
  • Medicaid and the Children’s Health Insurance Program (CHIP)
  • Women’s Health and Cancer Rights Act (WHCRA)
  • 10/8/2015 Notice of Creditable Coverage (NOCC) – Non-Medicare Plans
  • 10/8/2015 Notice of Creditable Coverage (NOCC) - Medicare Plans
  • 2016 Affordable Care Act / Marketplace Notice: Covered Employees
  • 2016 Affordable Care Act / Marketplace Notice: Non-Covered Employees

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