Legal Notices
Resources
Explore a variety of legal documents and resources related to benefits packages. Most documents are in PDF format to make them easy to download and print.
Summary of benefits overview page
Definitions, administrator, and sponsor for University benefit plans
- Compliance Notice
- Notice of privacy practice
- Notice of nondiscrimination
- CHIPRA notice
- Creditable coverage notice
- Annual Open Enrollment special notices
- QDIA notice (Qualified Default Investment Alternative)
- COBRA notice
- Exchange notice
- Special extended health coverage for certain adult children through age 29 notice
- Retirement summary of plan services and costs
- Child Care Subsidy Summary
- 2025 YOUR HSA-Eligible Plan Summary
- 2024 YOUR HSA-Eligible Plan Summary
- 2025 YOUR PPO Plan Summary
- 2024 YOUR PPO Plan Summary
- Retirement program summary plan description
- Tuition benefit plan summary
- 2023 wellness program catalog
- UR Medicine EAP
- Retiree benefits summary (3r)
- Retiree benefits summary
- 2021 MetLife legal plans summary
- Cafeteria/Section 125 Plan
- 2020 FSA SMM
- Wrap Summary Plan Description for the University of Rochester Welfare Benefits Plan
- Notice of Privacy Practices
- Non-Discrimination Notice
- CHIPRA
- Creditable Coverage Notice
- Annual Open Enrollment Special Notices
- COBRA Notice
- Exchange Notice
- Special Extended Health Coverage for Certain Adult Children through Age 29 Notice
- Insurance Policies/Certificates of Coverage/Benefits Booklets/Enrollment Materials for the following component plans:
- LTD Plan for Faculty and Staff of the University of Rochester (Plan 504)
- Group Life Insurance Plan for Faculty and Staff of the University of Rochester (Plan 505)
- Travel Accident Insurance Plan for Faculty and Staff of the University of Rochester (Plan 506)
- LTD Plan for Staff of University of Rochester who are Members of 1199 Upstate SEIU (Plan 512)
- Severance Pay Plan for Staff of the University of Rochester (Plan 514)
- Employee Assistance Plan for Faculty and Staff of the University of Rochester (Plan 515)
- Health Care Plans for Faculty and Staff of the University of Rochester (Plan 517)
- Prescription Drug Plans for Faculty and Staff of the University of Rochester (Plan 517)
- Dental Plans for Faculty and Staff of the University of Rochester (Plan 518)
- Long-Term Care Plan for Faculty and Staff of the University of Rochester (Plan 519)
- Long-Term Disability Plan for Residents of the University of Rochester (Plan 521)
- Legal Services Plan of the University of Rochester (Plan 522)
Summary Plan Descriptions
See current summary plan description and historical communication references. Most documents are in PDF format to make them easy to download and print.
- 2022 MetLife Legal Certificate of Coverage
- MetLife Legal Plans
- Identity theft protection summary
- Travel assistance card
- Travel accident insurance Certificate of Insurance (Federal Insurance Company)
- Travel accident insurance policy (Federal Insurance Company)
- Travel accident insurance policy 2011 amendment (Federal Insurance Company)
- Travel accident insurance policy medical evacuation and repatriation amendment (Federal Insurance Company)
- Travel accident insurance Certificate of Insurance (US Fire Insurance Company)
- Travel accident insurance schedule of benefits (US Fire Insurance Company)
- University of Rochester policy no. 6400-21-89_end_2018-2021 renewal
- VSP Vision Care Plan Evidence of Coverage
- VSP Vision Care Plan policy