Page 1 - USUI Benefit Book
P. 1
2019 Benefits Update
Packet Includes
• Retirement Savings Plan Document
▸ Summary Plan Description Usui 401(k) Plan
• Medical, Dental, Vision, Group Life and FSA Benefits Plan Documents
▸ Summary of Benefits and Coverage (SBC)
▸ Uniform Glossary of Health Coverage and Medical Terms
▸ Summary Plan Description Usui International Corporation Cafeteria Plan with
Premium Payments, Health FSA, and DCAP Components
▸ Summary Plan Description Fully-Insured Welfare Benefits provided under the Usui
International Group Health & Welfare Benefit Plan
▸ Summary Plan Description Self-Funded Medical, Dental and Vision Benefit under the
Usui International Group Health & Welfare Benefit Plan
• Policy Update Documents
▸ HIPAA Notice of Privacy Practices
IF YOU HAVE ANY QUESTIONS REGARDING THESE DOCUMENTS, PLANS OR
INFORMATION PROVIDED IN THESE DOCUMENTS, PLEASE CONTACT HUMAN RESOURCES
