Legal and Regulatory Notices

The most recent versions are below.

 Plan Documents

• Notice of Privacy Practices (HIPAA)
• Wellness Program Notices
• Paperwork Reduction Act Statement
• Notice of Special Enrollment Rights for Medical/Health Plan Coverage
• Newborns’ and Mothers’ Health Protection Act Notice
• Medicaid and Children’s Health Insurance Program (CHIP)
• Creditable Prescription Drug Coverage and Medicare
• Women’s Health and Cancer Rights Act Notice
• No Surprises Act Notice

Windstream Health and Welfare Benefits Plan Summary

• Welfare Benefit Plan Summary Plan Description

Medical Plans

• BCBS HDHP Plan
• BCBS PPO (Applicable to participating unions only)
• BCBS Copay Plan
• UMR HDHP Plan
• UMR PPO (Applicable to participating unions only)
• UMR Copay Plan
• Surest Choice Plan

Summary of Benefits Coverage (SBC’s)

Surest

• SBC Surest Choice 2024

Blue Cross Blue Shield

• BCBS 400 Plan SBC 2024
• BCBS 1850 Plan SBC 2024
• BCBS 3200 Plan SBC 2024
• BCBS 4000 Plan SBC 2024
• BCBS 6500 Plan SBC 2024 

UMR

• UMR 400 Plan SBC 2024
• UMR 1850 Plan SBC 2024
• UMR 3200 Plan SBC 2024
• UMR 4000 Plan SBC 2024
• UMR 6550 Plan SBC 2024

Pharmacy (ESI)

• Surest Integrated OOP PPO
• 1850 Integrated DED HSA CDH HRA
• 3200 Integrated DED HSA CDH HRA
• 4000 Integrated OOP PPO
• 6550 Integrated DED HSA CDH HRA
  

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FSA  

• Transportation FSA Summary

Vision 

• Vision Plan Certificate of Coverage – All Employees

Dental 

• Basic Dental Plan
• Standard Dental Plan
• Enhanced Dental Plan

Employee Assistance Program

• Employee Assistance Program (EAP) – All Employees

401(k)

• 401(k) – Non-Bargaining
• 401(k) – Bargaining Employees Except CWA 7470 & 74701
• 401(k) – Bargaining Employees CWA 7470 – Nebraska

Pension & Managing your Windstream Pension Benefit

• Managing your Windstream Pension Benefit Guide
• Nonbargaining Pension Summary Plan Description
• National Bargaining Summary Plan Description
• Certain Bargaining Unit Employees of CWA 3371, 3372 & IBEW 463 Summary Plan Description
• Aliant NonBargaining Appendix
• Allied Appendix
• Concord Summary Plan Description
• Conestoga Union Summary Plan Description
• DE Non-Bargaining Summary Plan Description
• Sugarland Appendix
• CP National Bargaining Pension Summary Plan Description
• CP National Non-Bargaining Appendix
• GTE Hourly Non-Bargaining Appendix
• GTE Hourly Bargaining Appendix
• GTE Salaried Appendix
• Iowa Salaried Summary Plan Description
• Iowa Union Summary Plan Description
• Kerrville Union Appendix
• Nebraska Bargaining Summary Plan Description
• Newark Non-bargaining Pension Appendix
• Newark Bargaining Pension Appendix
• Old Town Bargaining Appendix
• Old Town Nonbargaining Appendix
• TUP Bargaining Appendix
• TUP Non-bargaining Appendix
• Valor Bargaining Summary Plan Description
• Valor Non-Bargaining Pension Appendix
• Verizon Kentucky Nonbargaining Appendix

Supplemental Unemployment Benefits

• Supplemental Unemployment Benefits

Life and Accident 

• Supplemental Life Certificate for Active Employees
• AD&D Life Certificate for Retirees
• AD&D Life Certificate for Active Employees
• Supplemental Life Certificate for Retirees

Long-Term Disability Certificates of Insurance

• LTD Insurance Certificate – Class 1
• LTD Insurance Certificate – Class 4
• LTD Insurance Certificate – Class 5
• LTD Insurance Certificate – Class 6

Consumer Privacy

• CCPA Notice to Applicants and Employees