Legal Notices
Required Disclosures & Plan Guides
Ensign Compliance Notice Booklets
2027 Ensign Compliance Notices Booklet
Annual disclosures, rights, and responsibilities concerning the Ensign benefits program (including Medicare Part D, HIPAA Privacy, and CHIP notices).
PDF • 414 KBLegal Notices
Medical
Personify Health Plans
2024 Value Copay SPD Amendment 1
Amendment #1 for the Personify Value Copay Plan medical benefits schedule.
PDF • 55 KB2024 Premier EPO Amendment 1
Amendment #1 for the Personify Premier EPO Plan medical benefits schedule.
PDF • 32 KB2024 Choice HSA PPO SPD Amendment 2
Amendment #2 for the Personify Choice HSA PPO Plan Summary Plan Description.
2024 Premier EPO SPD Amendment 2
Amendment #2 for the Personify Premier EPO Plan Summary Plan Description.
2023 Choice HSA PPO SPD
Summary Plan Description for the Personify Choice HSA PPO medical plan.
PDF • 736 KB2023 Premier EPO SPD
Summary Plan Description for the Personify Premier EPO medical plan.
PDF • 736 KBKaiser Permanente Health Plan
2026 Kaiser Colorado EOC
2026 Evidence of Coverage for the Kaiser Foundation Health Plan of Colorado.
2026 Kaiser Northern California EOC
2026 Evidence of Coverage for the Kaiser Permanente Northern California plan.
2026 Kaiser Northern California Chiropractic and Acupuncture EOC
2026 Evidence of Coverage for Kaiser Permanente Northern California Chiropractic and Acupuncture benefits.
2026 Kaiser Northwest EOC
2026 Evidence of Coverage for the Kaiser Foundation Health Plan of the Northwest.
2026 Kaiser Southern California EOC
2026 Evidence of Coverage for the Kaiser Permanente Southern California plan.
2026 Kaiser Southern California Chiropractic and Acupuncture EOC
2026 Evidence of Coverage for Kaiser Permanente Southern California Chiropractic and Acupuncture benefits.
2026 Kaiser Washington Individual EOC
2026 Evidence of Coverage for the Kaiser Foundation Health Plan of Washington (Individual).
2026 Kaiser Washington Family EOC
2026 Evidence of Coverage for the Kaiser Foundation Health Plan of Washington (Family).
2025 Kaiser Southern California EOC
Evidence of Coverage for the Kaiser Permanente Southern California Deductible HMO plan.
PDF • 3.2 MB2025 Kaiser Northern California EOC
Evidence of Coverage for the Kaiser Permanente Northern California Deductible HMO plan.
PDF • 3.3 MB2024 Kaiser Washington EOC
Evidence of Coverage for the Kaiser Foundation Health Plan of Washington.
PDF • 957 KB2024 Kaiser Northwest EOC
Evidence of Coverage for the Kaiser Foundation Health Plan of the Northwest.
PDF • 497 KBCentivo PCP Partnership Plan
SIMNSA
2026 SIMNSA EOC
2026 Evidence of Coverage and Disclosure Form for SIMNSA Health Plan.
2025 SIMNSA EOC English
Evidence of Coverage and Disclosure Form for SIMNSA Health Plan (English).
PDF • 565 KBGarner
2026 Garner Value Copay SPD
Garner Health Reimbursement Arrangement Summary Plan Description for the Value Copay Plan.
PDF • 491 KB2026 Garner Value Copay Utah SPD
Garner HRA Summary Plan Description for the Utah Value Copay plan (2026).
PDF • 490 KB2026 Garner Value Copay Blue HPN SPD
Garner HRA Summary Plan Description for the Value Copay EPO BlueHPN plan.
PDF • 491 KB2026 Garner Premier EPO Utah SPD
Garner HRA Summary Plan Description for the Utah Premier EPO plan (2026).
PDF • 489 KB2026 Garner Premier EPO SPD
Garner HRA Summary Plan Description for the Premier EPO plan (2026).
PDF • 489 KB2026 Garner Choice HSA PPO Utah SPD
Garner HRA Summary Plan Description for the Utah Choice HSA PPO plan (2026).
PDF • 489 KBDental
Cigna Dental
Delta Dental
We will provide documents when we receive them.
Vision
Voluntary Benefits - Life & AD&D
2023 Group Life & AD&D Service Center, AITs, Executive Leadership COC
Certificate of Coverage for Group Life and Accidental Death & Dismemberment Insurance (Service Center, AITs, Executive Leadership).
2023 Group Life & AD&D All Department Heads/Leadership, RNs, LVNs, LPNs, Therapists, TAs COC
Certificate of Coverage for Group Life and Accidental Death & Dismemberment Insurance (All Department Heads/Leadership, RNs, LVNs, LPNs, Therapists, TAs).
2023 Group Life & AD&D All Other Employees COC
Certificate of Coverage for Group Life and Accidental Death & Dismemberment Insurance (All Other Employees).
2026 Long Term Disability Plan COC
Certificate of Coverage for the 2026 Long Term Disability (LTD) insurance plan.
2026 Short Term Disability CA Employees $63,000+ COC
Certificate of Coverage for the 2026 Short Term Disability (STD) plan for California employees earning $63,000+.
2026 Short Term Disability Non-California Employees COC
Certificate of Coverage for the 2026 Short Term Disability (STD) plan for Non-California employees.
2026 Short Term Disability CA Employees $63,000+, Non-California Employees COC
Certificate of Coverage for the 2026 Short Term Disability (STD) plan for California employees ($63,000+) and Non-California employees.
2023 Supplemental Life & AD&D Service Center, AITs and Executive Leadership COC
Certificate of Coverage for Supplemental Life and AD&D Insurance (Group 1: Service Center, AITs and Executive Leadership).
2023 Supplemental Life & AD&D All Department Heads/Leadership, RNs, LVNs, LPNs, Therapists, TAs COC
Certificate of Coverage for Supplemental Life and AD&D Insurance (Group 2: All Department Heads/Leadership, RNs, LVNs, LPNs, Therapists, TAs).
Supplemental Medical
2024 Hospital Indemnity COC
Certificate of Coverage for the Unum Voluntary Hospital Indemnity Plan.
PDF • 222 KB2024 Critical Illness COC
Certificate of Coverage for the Unum Voluntary Critical Illness Plan.
PDF • 232 KBFlexible Spending Account (FSA)
401(k)
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Important Health Coverage Tax Documents
Notice of Availability of Tax Form 1095
Benefits Portal
Written Request
Email Request
Support Assistance
Availability Info
Applicability
Employees living in a state where state law requires forms to be furnished will continue to receive a form automatically, and forms will be sent in accordance with the applicable state's requirements.