Loyola University Maryland

Office of Human Resources

Summary Plan Descriptions

LUMD 403b Summary Plan Description

LUMD Retirement Plan Summary of Material Modifications Effective January 1, 2018

LUMD Retirement Plan Summary of Material Modifications Effective June 1, 2020

LUMD Health and Welfare Benefit Plan

LUMD Health & Welfare Benefit Plan Appendix

LUMD Health & Welfare Summary of Material Modifications Effective July 1, 2020

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

Medical OAP Plan


Cigna Health and Life Insurance Company
Hartford, CT 06152
Open Access Plus Medical Benefits

Medical OAP-IN Plan
Vision

Cigna Health and Life Insurance Company
Hartford, CT 06152

Open Access Plus In Network Medical

Benefits

Medical OAP HDHP Plan
Vision

Cigna Health and Life Insurance Company
Hartford, CT 06152

Open Access Plus Medical Benefits,

Qualified High Deductive Health Plan

Dental PPO

Dental Certificate Rider - LDA

Dental Certificate Addendum

Certificate Rider - April 1, 2019

Certificate Rider July 1, 2020

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  - April 1, 2019

Certificate Rider - July 1, 2020

Dental Copay Rider - Copay Schedule

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

Basic Life/AD&D and Dependent Life Insurance

Principal Life Insurance Company

Des Moines, IA 50392

Group Term Life, AD&D and

Dependent Life Insurance Booklet

Supplemental Life Insurance  Principal Life Insurance Company

Des Moines, IA 50392
Supplemental Life Insurance Booklet

Core LTD Insurance – Members with Pension

Certificate Rider

Principal Life Insurance Company

Des Moines, IA 50392

Core LTD  Insurance – Members

with Pension Booklet

Core LTD Insurance – Members without Pension 

Certificate Rider

Principal Life Insurance Company

Des Moines, IA 50392

Core LTD  Insurance – Members

without Pension Booklet

LTD Buy-Up – Members with Pension

Certificate Rider

Principal Life Insurance Company

Des Moines, IA 50392

LTD Buy-Up – Members

with Pension Booklet

LTD Buy-Up – Members without Pension

Certificate Rider

Principal Life Insurance Company

Des Moines, IA 50392

LTD Buy-Up – Members

without Pension Booklet

Employee Assistance Program

KEPRO

777 East Park Drive

Harrisburg, PA 17111

Employee Assistance Program

Health Care Flexible Spending Accounts

HFSA SMM Effective July 1, 2020

ConnectYourCare

307 International Circle, Suite 200

Hunt Valley, MD 21030

Flexible Benefits Plan Summary

Plan Description

 

This website provides a summary of the benefits available. The University reserves the right to modify, amend, suspend or terminate any plan at any time, and for any reason without prior notification. You will be notified of any changes to these plans and how they affect your benefits, if at all. The plans described on this website are governed by insurance contracts and plan documents, which are available for examination. We have attempted to make explanations of the plans on this website as accurate as possible. However, should there be a discrepancy between this website and the provisions of the insurance contracts or plan documents, the provisions of the insurance contracts or plan documents will govern. In addition, you should not rely on any oral descriptions of these plans, since the written descriptions in the insurance contracts and plan documents will always govern.