There are two medical plans available, choose the best fit for you
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PPO $1,500 Summary of Benefits and Coverage
Platinum PPO $250 $20/$40 90%
PPO $250 Summary of Benefits and Coverage
These summaries are used to highlight the benefits, do not use them to understand your exact coverage. It is recommended that you review the summary of benefits and coverage for each plan you may be interested in to better understand your benefits
Full Life and AD&D Plan Summary and Rates
Voluntary Term Life – Premiums are age rated
URSA is now making the following AFLAC insurance polices available to its employees effective 5/1/2017
Why Aflac? Get the Aflacts here
CAN I MAKE MID-YEAR PLAN CHANGES TO MY GROUP HEALTH INSURANCE?
An employer’s ability to allow employees to cancel or change health plan elections is governed by the Internal Revenue Code. Section 125 of the Internal Revenue Code (IRC) governs how employers provide benefits to employees on a pre-tax basis. After an employee has made an initial enrollment election, outside of Annual Enrollment, Section 125 does not permit changes except for certain, specific reasons. The permitted Section 125 changes are the qualified “change-of-status” events described below:
• Marriage or registration of a domestic partner
• Birth or adoption of a child
• Death of a spouse/domestic partner or dependent
• Change in your spouse/domestic partner’s employer’s medical coverage
• Child’s loss of eligibility due to age or marital status
• Commencement of or return from an unpaid leave of absence
• A residence change effecting eligibility for you, your spouse or a dependent
• You, your spouse or dependent becomes eligible for Medicare or Medicaid
• A judgment, decree or court order that requires a coverage change
Premium Only Plan
2017 Premium Only Plan Document
ERISA Wrap Document SPD – Last amended July 1, 2017
IMPORTANT PATIENT PROTECTION AND AFFORDABLE CARE ACT NOTICES, ERISA NOTICES AND CONTACTS FOR MORE INFORMATION
Ursa Information Systems is providing these important notices to you at no fee. The notices in this package describe important rights that you have under the terms of the Ursa Information Systems Group Health Plan. If you have any questions or need additional information regarding these notices you can contact your Employer Representative:
Women’s Health and Cancer Rights Act
Premium Assistance Under Medicaid and CHIP
New Hire Information
Employment verification and Tax Forms
Employment Eligibility Verification
