Required Legal Notices

Summary of Benefits and Costs (SBC)

The Summary of Benefits and Coverage (SBC) is produced by Cigna in accordance with federal guidelines and is designed to help you understand and evaluate y our health plan choices.  The federal law requires that you have access to the SBC for your current benfit plan year and the SBC for t he plan year beginning January 2026.  Since Dartmouth offers more than one Cigna medical plan option, you will be able to view SBC's for each option.

CIGNA MEDICAL SBC

Summary of Benefits (SoB)

A Summary of Benefits is a plain language document that outlines the key features, costs, and coverage details of the Dartmouth medical and pharmacy plans.

CIGNA MEDICAL SoB

EXPRESS SCRIPTS PHARMACY SoB

Summary Plan Descriptions (SPD)

A Summary Plan Description is a plain-language document that explains the details of your health plan benefit, who is eligible, what are the costs (deductibles, copays, coinsurance), what services are covered, what services are excluded, and your rights on how to file an appeal. 

CIGNA MEDICAL SPD

DELTA DENTAL SPD

LINCOLN FINANCIAL DISABILITY SPD

Summary of Material Modification (SMM)

A Summary of Material Modifications provides a summary of the most important changes to the Plan and information contained in the Summary Plan Description ("SPD") previously provided to you. It supplements and amends that SPD so you should retain a copy of this document with your copy of the SPD. If there is any discrepancy between the terms of the Plan, as modified, and this Summary of Material Modifications, the provisions of the Plan will control

Summary Annual Reports (SAR)

A Summary Annual Report (SAR) is a summary of the Form 5500 Annual Return/Report for all faculty and staff of Dartmouth College. The annual report has been filed with the Employee Benefits Security Administration, U.S. Department of Labor, as required under the Employee Retirement Income Security Act of 1974 (ERISA).

Qualified Default Investment Alternative (QDIA) Notice

A QDIA notice informs participants how their retirement plan money is invested if they don't make an investment choice.

Other Legal Notices

 

 

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