Summary plan descriptions (SPDs) and plan booklets contain important information about the benefits you may receive under the Company’s health, welfare and 401(k) plans. You may download or print a copy of these documents directly from this website or request that a paper copy be mailed to you by submitting a request through HR4U > Myself > AskHR > Benefits or contact the Benefits Department at 1-888-921-0563. You may also send a written request by mail to HireRight, LLC, c/o Benefits Department, 3349 Michelson Drive, Suite 150, Irvine, CA 92612.
2021 Benefits Guide: Click Here
Summary Annual Reports
401(k) Plan Summary Annual Report: Click Here
Health and Welfare Plan Summary Annual Report: Click Here
Severance Plan Summary Annual Report: Click Here
Summary Plan Descriptions
401(k) SPD: Click Here
Anthem Blue Cross Medical Plans with Prescription Drug Coverage
Anthem Blue Cross - HDHP 1400 Plan Documents:
Anthem Blue Cross - HDHP 1400 Summary of Benefits: Click Here
Anthem Blue Cross - HDHP 1400 Summary of Benefits and Coverage: Click Here
Anthem Blue Cross - HDHP 1400 Evidence of Coverage: Click Here
Anthem Blue Cross - HDHP 2000 Plan Documents:
Anthem Blue Cross - HDHP 2000 Summary of Benefits: Click Here
Anthem Blue Cross - HDHP 2000 Summary of Benefits and Coverage: Click Here
Anthem Blue Cross - HDHP 2000 Evidence of Coverage: Click Here
Anthem Blue Cross Core Plan Documents:
Anthem Blue Cross Core Summary of Benefits: Click Here
Anthem Blue Cross Core Summary of Benefits and Coverage: Click Here
Anthem Blue Cross Core Evidence of Coverage: Click Here
Business Travel Accident Policy: Coming Soon
Critical Illness Certificate of Insurance: Coming Soon
Dental Premium Evidence of Coverage: Coming Soon
- Dental Premium Summary of Benefits: Click Here
Dental Basic Evidence of Coverage: Coming Soon
- Dental Basic Summary of Benefits: Click Here
Flexible Benefit Plan SPD: Coming Soon
Health & Welfare Plan Plan Document and SPD: Coming Soon
Hospital Indemnity Plan
- Hospital Plan 1400 Kit: Click Here
- Hospital Plan 2000 Kit: Click Here
- Hospital Plan 1400 Benefits Summary: Click Here
- Hospital Plan 2000 Benefits Summary: Click Here
Legal Plan SPD: Coming Soon
Life and AD&D (Basic Term Life, Supplemental Term Life and Dependent Life, and AD&D) SPD: Coming Soon
Long Term Disability SPD: Coming Soon
New York Disability and Paid Family Leave Certificate: Coming Soon
- New York Paid Family Leave Notice: Coming Soon
- New York State Disability Notice of Compliance: Coming Soon
Severance Plan Document and Summary Plan Description: Coming Soon
Vision Evidence of Coverage: Coming Soon
Required Notices
ACA Notice Regarding Patient Protections: Click Here
CHIP Notice: Click Here
COBRA Initial Rights Notice: Click Here
EEOC Wellness Program Notice: Click Here
Health Insurance Exchange Notice: Click Here
HIPAA Privacy Notice: Click Here
HIPAA Special Enrollment Notice: Click Here
Medicare Part D Notice: Click Here
Newborns' and Mothers' Health Protection Act Notice: Click Here
New York Paid Family Leave Notice: Click Here
Summary of Material Modifications:
SMM Blue Cross Blue Shield of South Carolina: Click Here
SMM ERISA Notice of Certain Deadline Relief: Click Here
SMM Blue Cross of California: Click Here
SMM ERISA Notice of Expiration of Certain Deadline Relief: Click Here
Women’s Health and Cancer Rights Notice: Click Here
401(k) Safe Harbor Notice: Click Here
401(k) Qualified Default Investment Alternative/Participant Fee Disclosure Notice: Click Here