Document Library
For benefits effective July 1 to June 30Plan Year 2024-2025 Documents
This page houses information you may need as you use your benefits throughout the year. New and updated documents are posted regularly.
Required Legal Notices
General
Plan Year 2022-2023
- 2023 Summary Annual Report
- Required Health Coverage Notices
- Medicare Part D Prescription Drug Creditable Coverage Letter
Plan Year 2021-2022
Summaries of Benefits & Coverage (SBC)
Summary Plan Descriptions (SPD)
Short-Term Disability
- Short-Term Disability Summary Plan Description Class 1
- Short-Term Disability Summary Plan Description Class 2
- Short-Term Disability Hourly Class 1 (US Full-Time Hourly Store Team Members)
- Short-Term Disability Hourly Class 2 (US Full-Time Hourly Distribution Center and Artistree Team Members)
- Short-Term Disability Hourly Class 3 (US Full-Time Hourly Support Center Team Members)
Long-Term Disability
- Long-Term Disability Class 1 (US Full-Time Vice Presidents and above)
- Long-Term Disability Class 2 (US Full-Time Directors, District Managers, Support Center Senior Buyers, Support Center Managers, Distribution Center and Artistree Management Level 2)
- Long-Term Disability Class 3 (US Full-time Hourly Store Managers, Hourly Assistant Managers and Salaried Team Members)
- Long-Term Disability Class 4 (US Full-time Hourly Team Members)
- Basic Life & AD&D (US Full-time Team Members)
- Optional Life (US Full-time Team Members)
- Optional AD&D (US Full-time Team Members)
- Executive Life Class 1 (US and Canadian Senior Vice Presidents and above)
- Executive Life Class 2 (US and Canadian Vice Presidents)
- Executive Life Class 3 (US and Canadian Directors)
Blue Cross & Blue Shield of Texas (BCBSTX)
Kaiser
Accident:
Critical Illness:
Hospital Indemnity: