Legal Notices, Plan Documents and Forms – Alkali Union

Legal Notices – Alkali Union

Safe Harbor Plan Notice Alkali 2023 (updated October 2023)

2022 404a Fee Disclosure Genesis Alkali Investment Savings Plan (updated April 2022)

Medicare Notice of Credible Coverage for Rx (updated October 2023)

Notice of Health Insurance Marketplace Coverage (updated October 2023)

HIPAA Notice Privacy Practices (updated November 2022)

HIPAA Notice of Special Enrollment (updated November 2022)

Newborns’ and Mothers’ Health Protection Notice  (updated November 2022)

Women’s Health and Cancer Rights (updated November 2022)

Notice of COBRA Continuation Coverage Rights (updated November 2022)

Children Health Insurance Program (CHIP) Notice (updated October 2023)

2022 Summary Annual Report – Alkali Health and Welfare Plan (Updated December 2023)

2022 Summary Annual Report – Alkali 401(k) (Updated December 2023)

 

Plan Documents

2024 Medical Plan Booklet – PPO Plan (Low Plan)

2024 Medical Plan Booklet – HDHP (High Plan)

2024 Summary of Benefits Coverage – PPO Plan (Low Plan)

2024 Summary of Benefits Coverage – HDHP (High Plan)

Delta Dental Summary of Benefits Coverage – Adults (Employee and Spouse)

Delta Dental Summary of Benefits Coverage – For Dependents

VSP Summary of Benefits Coverage

Alkali Union Health & Welfare Wrap SPD (pending review)

Pension Plan Amended and Restarted January 2020

Alkali Union STD policy and SPD

Alkali Union LTD Policy and SPD

Alkali Union Life AD&D Policy SPD

To access the SPD for the 401(k) Plan, you must login to your Fidelity account here. Once you’ve logged in, go to Menu > Learn > “Forms and Plan Information” >  Plan Information and Documents