Important information about your Employbridge Holding Company benefits and rights is now available for review, including required ERISA and health plan notices.
Si desea recibir información en español, comuníquese con el Centro de Contacto de Asociados utilizando la información de contacto que se encuentra a continuación. Su equipo puede ayudarle con sus preguntas y proporcionarle la información en español.
Children’s Health Insurance Program (CHIP) Notice
Download the Children’s Health Insurance Program (CHIP) Notice
COBRA General Notice
Download the COBRA General Notice
Health & Welfare Plan Document
HIPAA Notice of Privacy Practices
Download the HIPAA Notice of Privacy Practices
HIPAA Special Enrollment Rights Notice
Download the HIPAA Special Enrollment Rights Notice
Illinois Essential Health Benefits Notice
Download the Illinois Essential Health Benefits Notice
Medicare Part D Creditable Coverage Notice
Download the Medicare Part D Creditable Coverage Notice
Newborns’ and Mothers’ Health Protection Act Notice
Download the Newborns’ and Mothers’ Health Protection Act Notice
Notice of Right to Designate Primary Care Provider and of No Obligation for Pre-Authorization for OB/GYN Care
Summary Annual Report
Download the Summary Annual Report
Summary of Benefits and Coverage
- American Worker Med Advantage Plus Summary of Benefits and Coverage
- American Worker Med Advantage Summary of Benefits and Coverage
- American Worker Med Enhanced Plus Summary of Benefits and Coverage
- American Worker Med Enhanced Summary of Benefits and Coverage
- Anthem Base PPO Summary of Benefits and Coverage
- Anthem Buy-up PPO Summary of Benefits and Coverage
- Anthem HMO Summary of Benefits and Coverage
- Kaiser HMO Summary of Benefits and Coverage
- UMR Core Summary of Benefits and Coverage
- UMR HSA Basic Summary of Benefits and Coverage
- UMR HSA Plus Summary of Benefits and Coverage
- UMR PPO Summary of Benefits and Coverage
- UMR Value Summary of Benefits and Coverage
Summary of Material Modifications
- 2027 Summary of Material Modifications - Colleague
- 2027 Summary of Material Modifications - Enhanced Associates
Summary Plan Descriptions
- American Worker Accident Coverage Certificate
- American Worker Critical Illness-Hospital Coverage Certificate
- American Worker Dental Coverage Certificate
- American Worker Med Basic Coverage Certificate
- American Worker Med Advantage Plan Document
- American Worker Med Advantage Plus Coverage Certificate
- American Worker Med Enhanced Plan Document
- American Worker Med Enhanced Plus Coverage Certificate
- American Worker Life AD&D Coverage Certificate
- American Worker Nationwide Master Policy
- American Worker Short Term Disability Coverage Certificate
- American Worker Vision Coverage Certificate
- Anthem Base PPO Benefits Summary
- Anthem Buy-up PPO Benefits Summary
- Anthem HMO Benefits Summary
- EyeMed Vision Benefit Summary
- Kaiser HMO Benefits Summary
- MetLife Dental Low Plan SPD
- MetLife Dental High Plan SPD
- Prudential Certificate State Notices
- Prudential Dependent Life Certificate for Grandfathered Employees
- Prudential Life & AD&D Certificate for Bluecrew Colleagues
- Prudential Life & AD&D Certificate for Colleagues excl. Executives
- Prudential Life & AD&D Certificate for Executive Colleagues
- Prudential Life & AD&D Certificate for Kohler & Toyota excl. GT
- Prudential Life & AD&D Certificate for Ryder & Toyota GT
- Prudential STD-LTD Certificate for Colleagues excl. Executives
- Prudential STD-LTD Certificate for Executive Colleagues
- Prudential STD-LTD Certificate for Kohler & Toyota excl. GT
- Prudential STD-LTD Certificate for Ryder & Toyota GT
- UMR PPO Summary Plan Description
- UMR HSA Basic Summary Plan Description
- UMR HSA Plus Summary Plan Description
- UMR Core Summary Plan Description
- UMR Value Summary Plan Description
- Voya Accident Certificate
- Voya Critical Illness Certificate
- Voya Hospital Indemnity Certificate
Women’s Health and Cancer Rights Act Notice
Download the Women’s Health and Cancer Rights Act Notice
Request a Paper Copy:
You have the right to request a paper copy of any notice at no charge.
Contact:
Associate Contact Center
contact.center@employbridge.com
(855) 641-7002