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Plan Documents

Claims Forms | Enrollment Forms | Other Forms & Info | Plan Documents

Dental & Vision
Delta Dental Care Plan - M&P and Faculty
 Acrobat Reader Required
Delta Dental Care Plan - C&T, S&M and Yale Police
 Acrobat Reader Required
CIGNA Dental Care Plan
Acrobat Reader Required
EyeMed Vision - M&P and Faculty Acrobat Reader Required
EyeMed Vision Policy Addendum - M&P and Faculty Acrobat Reader Required
Medical - YHP Members
Yale Health Plan Members Handbook
globe

For Aetna HSA participants - Click Here for Important Required Disclosures
Medical - Aetna Plan Members (M&P and Faculty)
*Be sure to print the Benefit Plan along with each Schedule of Benefits.
POS II Benefit Plan - M&P and Faculty
Acrobat Reader Required
POS II Schedule of Benefits - M&P and Faculty
Acrobat Reader Required
POS II Benefit Plan: High-Deductible w/Health Savings Account - M&P and Faculty
Acrobat Reader Required
POS II Schedule of Benefits: High-Deductible w/Health Savings Account - M&P and Faculty
Acrobat Reader Required
POS II Amendment: High-Deductible w/Health Savings Account - M&P and Faculty Acrobat Reader Required
Medical - Aetna Plan Members (C&T and S&M)
*Be sure to print the Benefit Plan along with each Schedule of Benefits.
POS II Benefit Plan: Alternate Prescription - C&T and S&M Acrobat Reader Required
POS II Schedule of Benefits: Alternate Prescription - C&T and S&M
Acrobat Reader Required
POS II Benefit Plan: Base Prescription - C&T and S&M Acrobat Reader Required
POS II Schedule of Benefits: Base Prescription- C&T and S&M
Acrobat Reader Required
POS II Amendment: Routine Physicals - C&T and S&M Acrobat Reader Required
Medical - Aetna Plan Members (Yale Police Benevolent Association)
*Be sure to print the Benefit Plan along with each Schedule of Benefits.
POS II Benefit Plan: Base Prescription - YPBA Acrobat Reader Required
POS II Schedule of Benefits: Base Prescription - YPBA Acrobat Reader Required
POS II Benefit Plan: Alternate Prescription - YPBA Acrobat Reader Required
POS II Schedule of Benefits: Alternate Prescription- YPBA Acrobat Reader Required
POS II Amendment: Routine Physicals - YPBA Acrobat Reader Required
Plan Amendments
Aetna POS II HSA Amendment: Routine Physical (M&P and Faculty)
Acrobat Reader Required
Aetna POS II Amendment: Prescription Plan (C&T and S&M)
Acrobat Reader Required

Aetna POS II Amendment: Prescription Supply (C&T and S&M)
Acrobat Reader Required
Flexible Spending Accounts (FSA)
Healthcare/Dental Reimbursement Plan
Acrobat Reader Required
Dependent Care Reimbursement Plan
Acrobat Reader Required
Retirement
Staff Pension Plan Document Acrobat Reader Required
Faculty Early, Phased and Planned Retirement Memo (1993) Acrobat Reader Required
Yale University Retirement Account Plan - M&P and Faculty Acrobat Reader Required
Yale University Matching Retirement Plan - C&T, S&M and YPBA Acrobat Reader Required
Yale University Tax-Deferred 403(b) Savings Plan - Universal Acrobat Reader Required
Yale University 457(b) Deferred Compensation Plan Acrobat Reader Required
Long Term Disability - Standard
Group Policy
Acrobat Reader Required
C&T and S&M Certificate
Acrobat Reader Required
Faculty and M&P Certificate
Acrobat Reader Required
Faculty with no YURAP Certificate
Acrobat Reader Required
Faculty and Exempt Employees Participating in the Yale Retirement Plan Acrobat Reader Required
Faculty Not Participating in the Yale Retirement Plan Acrobat Reader Required
Medical School Faculty Acrobat Reader Required
Non-Exempt Employees and Police Officers Not Represented Acrobat Reader Required
Police Officers Represented and Exempt Members Not Participating in the Yale Retirement Plan Acrobat Reader Required
Life Insurance
Active and Retired C&T and S&M Acrobat Reader Required
Active and Retired Police Officers Acrobat Reader Required
Active Faculty Acrobat Reader Required
Active M&P Acrobat Reader Required
Active Post-Doctoral Associates Acrobat Reader Required
Plan Amendments
Standard LTD w/ MAPB Amendment
Acrobat Reader Required
Standard LTD Amendment
Acrobat Reader Required
Standard LTD Maximum Leave of Absence Periods - Amendment Acrobat Reader Required
Scholarship
Scholarship Plan for Children of Faculty & Staff - Policy Document
Acrobat Reader Required
Short-Term Disability
Short-Term Disability Income Benefit Plan
Acrobat Reader Required
Summary Annual Reports & Required Disclosures
FY2005/2006 - SAR
Acrobat Reader Required
2009 Summary Annual Report Acrobat Reader Required

2009/2010 - Annual Funding Notice

Acrobat Reader Required
FY 2010-2011 - Form 5500 for Staff Pension Plan Acrobat Reader Required
2011-2012 YURAP Annual Notice Acrobat Reader Required
2011-2012 Matching Plan Annual Notice Acrobat Reader Required
2011-2012 Tax-Deferred Annual Notice Acrobat Reader Required
Early Retiree Reinsurance Notice Acrobat Reader Required
Grandfathered Health Plan Notice Acrobat Reader Required

PDF format requires Adobe Acrobat Reader which can be downloaded from www.yale.edu/software.