Page 25 - 2015 Four Seasons Sante Fe/Vail Enrollment Guide
P. 25
2015 Open Enrollment







Summaries of Benefits and Coverage


As a result of the Patient Protection and Affordable Care Act (PPACA) and 2013 Summary Annual
Health Care Reform legislation, summaries of beneits and coverage (SBCs) for Report Available in
the medical options and Employee Assistance Program are available online.
We encourage you to read and keep a copy of the SBC for future reference. November
To access the SBCs online, visit the My Four Seasons Beneits website at https:// The 2013 Summary Annual
fsbeneits.fourseasons.com. Then, click on the Beneits tab, and then the Health Report (SAR) for the Four Seasons
Plans tab. If you would like a printed copy mailed to your home, please call the beneit plans will be available in
My Four Seasons Beneits Center at 1-866-672-0435 (toll free) and speak with a November. To access the SAR
representative.
online, visit the My Four Seasons
The SBC requirement is intended to standardize the description of medical Beneits website beginning in
options in the United States so that individuals can easily compare medical option November. Then, click on the
choices. While the SBC is a concise “snapshot” of each available medical option, Forms and Materials tab. If you
the SBC is not intended to take the place of the Summary Plan Description. Your would like a printed copy mailed
eligibility and beneits will only be determined in accordance with and subject to to your home, please call the My
the Summary Plan Description. Four Seasons Beneits Center and
speak with a representative.
Summary Plan Descriptions Available

To help you better understand your health and welfare beneits as well as your
rights and responsibilities under the Four Seasons beneit plans, Four Seasons has
updated the Summary Plan Descriptions (SPDs) for the plans available to you
and your eligible dependents. We encourage you to read and keep a copy of
the SPD for future reference. To access the SPDs online, visit the My Four Seasons
Beneits Center website at https://fsbeneits.fourseasons.com. Then, click on the
Beneits tab, and then the Health Plans tab. If you would like a printed copy,
please call the My Four Seasons Beneits Center at 1-866-672-0435 (toll free) and
speak with a representative.

Medicare Part D Notice

The Medicare Part D Notice is not included in the Open Enrollment Guide as
it was mailed to your home on October 1, 2014. For a copy of the notice in
English or Spanish, please log onto the My Four Seasons Beneits website at
https://fsbeneits.fourseasons.com. Then, click on the Forms and Materials tab. To
request a printed copy be mailed to your home, call the My Four Seasons Beneits
Center at 1-866-672-0435 (toll free).















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