Loyola University Maryland

Office of Human Resources

Summary Plan Descriptions

LUMD 403b Summary Plan Description

LUMD Retirement Plan Summary of Material Modification Effective August 1, 2016 - Loans

LUMD Health and Welfare Benefit Plan

Summary of Benefits 

This chart provides a summary of the benefits available under Loyola University Maryland Health & Welfare Benefit Plan. The benefit guides and insurance certificates listed below provide detailed information on the benefits available and are incorporated by reference into this Summary Plan Description. Please use the list below to identify the incorporated documents for the benefits in which you are enrolled. Please review this information carefully. If you have questions, need additional information, or wish to request a paper copy of the SPDs free of charge, please contact the Office of Benefits and Wellness at 410-617-1365.

Benefit

Insurer or Claims Administrator

Title of Benefit Booklet, Guide or Certificate

Dental PPO

Dental Certificate Rider - LDA

Dental Certificate Addendum

Certificate Rider

Metropolitan Life Insurance Company

200 Park Avenue

New York, New York 10166

Your Employee Benefit Plan

Dental Expense Benefits

PPO Dental Plan

Dental Copay Plan

Dental Certificate Rider - LDA

Dental Certificate Addendum

Certificate Rider

Metropolitan Life Insurance Company

200 Park Avenue

New York, New York 10166

Your Benefit Plan

Copay Dental Plan

Core Vision

Mid-Atlantic Vision Service Plan, Inc.

3333 Quality Drive

Rancho Cordova, CA 95670

Group Vision Care Policy

Certificate of Coverage

Vision Buy-up

Mid-Atlantic Vision Service Plan, Inc.

3333 Quality Drive

Rancho Cordova, CA 95670

Group Vision Care Policy

Certificate of Coverage

Employee Assistance Program

KEPRO

777 East Park Drive

Harrisburg, PA 17111

Employee Assistance Program

Health Care Flexible Spending Accounts

ConnectYourCare

307 International Circle, Suite 200

Hunt Valley, MD 21030

Flexible Benefits Plan Summary Plan Description