Plan Documents & Notices

Yale University Welfare and Fringe Benefit Plan

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
  • For Aetna POS II participants - Important Required Disclosures
  • For Aetna HSA participants - Important Required Disclosures

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 Smart Care W/Optional Health Savings Account – Schedule of Benefits/Benefit Plan

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


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
  • Yale Retirement Plan for Staff Employees - Summary Plan Description
  • Yale Retirement Plan for Staff Employees (Police) - Summary Plan Description

Short-Term Disability

  • Short-Term Disability Income Benefit Plan

Long-Term Disability - Standard

  • Post Doctoral Associates and Faculty Members no YURAP
  • Faculty, M&P Certificate
  • Medical School Faculty Certificate
  • Non-exempt Members Not Represented by YPBA Certificate
  • M&P who participate in YURAP and Police Officers represented by YPBA Certificate

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

  • 2014 Summary Annual Reports
  • Tax-deferred 403(B) Savings Plan Annual Notice
  • YURAP Annual Notice
  • Matching Retirement Plan Annual Notice
  • YURAP Summary Annual Report
  • Matching Retirement Plan Summary Annual Report
  • Tax-Deferred 403(b) Savings Plan - Summary Annual Report
  • 2019 Notice of Creditable Coverage for Active Participants
  • 2019 Notice of Creditable Coverage for Retired Participants
  • Affordable Care Act Notice - Non-covered Employees
  • Affordable Care Act Notice - Covered Employees
  • Early Retiree Reinsurance Notice
  • Medicaid and the Children’s Health Insurance Program (CHIP)
  • Women’s Health Rights under the Newborns’ and Mothers’ Health Protection Act of 1996 (NMHPA)
  • Women’s Health and Cancer Rights Act (WHCRA)
  • 2018-2019 Form 5500 for Yale University Retirement Plan for Staff Employees
  • 2018-2019 Annual Funding Notice for Yale University Retirement Plan for Staff Employees
  • 2017 - Notice of Privacy Practices

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