Benefit Plan Documents and Policies
Benefit plans are governed by detailed plan descriptions and policies. In addition, medical plan are required to provide plan participants Summaries of Benefit Coverage. The following documents, policies and summaries are provided for your review.
Benefit programs are subject to change without prior notice, as determined by changes in federal or state laws or regulations, policies of the Arizona Board of Regents, Arizona Department of Administration rules, determinations by Northern Arizona University or plan changes implemented by benefit providers.
| NAU Plan Documents | |
|---|---|
| NAU BCBSAZ Summary of Benefits and Coverage (SBC) | 2019 NAU BCBSAZ PPO SBC 2019 NAU BCBSAZ PPO SBC in Spanish 2020 NAU BCBSAZ PPO SBC 2020 NAU BCBSAZ HDHP\HSA |
| Plan Certificate and Change Documents | 2019 BCBSAZ PPO Plan Certificate 2020 BCBSAZ PPO Plan Changes 2018 BCBSAZ PPO Plan Rider |
| Other Documents | Precertification Requirements for Medical Services NAU BCBSAZ PPO Active Employee Plan Disclosure |
| Flexible Spending Account (ASI Flex) | FSA Plan Description |
| State of Arizona Plan Documents | |
|---|---|
| Medical Summary of Benefits and Coverage (SBC) | State PPO State PPO Spanish SBC State EPO State EPO Spanish SBC State HDHP/HSA State HDHP/HSA Spanish SBC State Medical Plan Policies |
| Delta Dental | State Dental Plan Policies |
| Life Insurance | 2020 Securian. 2019 The Hartford |
| Short Term Disability | 2020 MetLife, 2019 The Hartford |
| Long Term Disability | ASRS LTD with Broadspire ORP and PSPRS LTD with MetLife |
| Retirement Plans | ASRS PSPRS 457 |
| Retiree Accumulated Sick Leave (RASL) | RASL Plan Description |
| Leaves of Absence |
Important Information
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