Page 2 - PSRS Benefits at a Glance 2017

NOTE: This publication is only a partial summary of benefits and is provided for information purposes only. It
does not describe all elements of the summarized programs. For complete information regarding the benefits,
plan provision, limitations and exclusions, and for a description of claims procedures, refer to the formal benefit
documents located within HR Shared Documents. In the event of a discrepancy or conflict between the information
contained in this publication and the official benefit plan provisions, the official plan documents and insurance
contracts will govern. Copies of these documents are for your review from the Human Resources Department and
within HR Shared Documents. No rights shall accrue to you and/or your dependents because of any statement,
error or omission in this publication.

SPECIAL ENROLLMENT and LEGAL NOTICES may be found within HR Shared Documents. The legal notices include
the Patient Protection Choice of Providers, HIPAA Special Enrollment Rights Notice, NMPHA Newborns’ & Mothers’
Health Protection Act, CHIPRA Notice (Children’s Health Insurance Program Reauthorization Act), WHCRA Notice
(Women’s Health and Cancer Rights Act). If you have any questions or need additional information regarding these
notices you can contact the PSRS/PEERS HR representatives at 573-638-1093 or by mail at PO BOX 268, Jefferson
City, MO 65102.

2 2017 BENEFITS AT A GLANCE