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.
General Information
BCBS – Group Number: 70-53630
HSA Bank – Group Number: GFH164
CVS Caremark – Plan ID: 1348ALTEG
2020 Carrier Contacts: 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
BlueCross BlueShield (BCBS) of South Carolina Medical Plans with Prescription Drug Coverage -
BCBS of SC 1400 HSA Plan Documents:
BCBS 1400 HSA Plan of Benefits Booklet: Click Here
BCBS 1400 Summary of Benefits and Coverage: Click Here
BCBS of SC 2000 HSA Plan Documents:
BCBS 2000 HSA Plan of Benefits Booklet: Click Here
BCBS 2000 Summary of Benefits and Coverage: Click Here
BCBS of SC Core Plan Documents:
BCBS Core Plan of Benefits Booklet: Click Here
BCBS Core Summary of Benefits and Coverage: Click Here
HSA Core Plan Employer Incentive: Click Here
Business Travel Accident Policy: Click Here
Critical Illness Certificate of Insurance: Click Here
Dental Premium Evidence of Coverage: Click Here
- Dental Premium Summary of Benefits: Click Here
Dental Basic Evidence of Coverage: Click Here
- Dental Basic Summary of Benefits: Click Here
Flexible Benefit Plan SPD: Click Here
2020 Flexible Spending Account Overview: Click Here
Health & Welfare Plan Plan Document and SPD: Click Here
Hospital Indemnity Plan Booklet-Certificate: Click Here
- Hospital Plan 1400 Benefits Summary: Click Here
- Hospital Plan 2000 Benefits Summary: Click Here
Legal Plan SPD: Click Here
Life and AD&D (Basic Term Life, Supplemental Term Life and Dependent Life, and AD&D) SPD: Click Here
Long Term Disability SPD: Click Here
New York Disability and Paid Family Leave Certificate: Click Here
- New York Paid Family Leave Notice: Click Here
- New York State Disability Notice of Compliance: Click Here
Severance Plan Document and Summary Plan Description: Click Here
Vision Evidence of Coverage: Click Here
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
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