Legal Notices, Plan Documents and Forms

Legal Notices

2021 Safe Harbor Notice – Genesis Energy (updated October 2021)

2021 Safe Harbor Notice – Genesis Alkali (updated October 2021)

2020 404a Disclosure – Genesis Energy  (updated October 2021)

2020 404a Disclosure – Genesis Alkali  (updated October 2021)

2021 404a Disclosure – Genesis Marine (updated October 2021)

Medicare Part D Notice Credible Coverage Notice (updated October 2022)

Notice of Health Insurance Marketplace Coverage (updated October 2021)

HIPAA Notice of Privacy Practices (updated October 2021)

HIPAA Notice of Special Rights (updated October 2021)

Women’s Health and Cancer Rights Act (updated October 2021)

Newborns’ and Mothers’ Health Protection Act (updated October 2021)

BCBSTX Important Notices – COBRA

Children’s Health Insurance Program (CHIP) Notice (updated October 2021)

2020 Summary Annual Report for Genesis Energy Profit Sharing & Retirement Savings Plan

2020 Summary Annual Report for Genesis Alkali LLC Savings Investment Plan

2020 Summary Annual Report for Genesis Energy Health & Welfare Benefits Plan

2020 Summary Annual Report for Genesis Marine LLC Retirement Savings Plan – English

2020 Summary Annual Report for Genesis Marine LLC Retirement Savings Plan – Spanish

 

Plan Documents

Life, AD&D, Optional Group Life and AD&D, Dependent Group Life Certificate (Genesis Energy Employees excluding Drivers)

Life, AD&D, Optional Group Life and AD&D, Dependent Group Life Certificate (Genesis Energy Drivers)

Short-term Disability Certificate (Genesis Energy Employees excluding Mariners)

Short-term Disability Certificate (Genesis Marine Mariners)

Long-term Disability Certificate (Genesis Energy Employees excluding Drivers)

Long-term Disability Certificate (Genesis Energy Drivers)

TRIPLE-S Pharmacy Coverage

TRIPLE-S Group Health Plan Rider

TRIPLE-S Major Medical Expense Rider

TRIPLE-S Summary of Benefits and Coverage Genesis Mar LLC English 09-01-2021 through 08-31-2022

TRIPLE-S Summary of Benefits and Coverage Genesis Mar LLC Spanish 09-01-2021 through 08-31-2022

2022 Summary of Benefits Coverage PPO Plan  (Energy and Alkali Non-Union)2022 BCBSTX Benefit Plan Booklet HDHP

2022 Summary of Benefits Coverage HDHP  (Energy and Alkali Non-Union)

2023 Summary of Benefits Coverage PPO (Energy and Alkali Non-Union)

2023 Summary of Benefits Coverage HDHP (Energy and Alkali Non-Union)

 

Summary Plan Descriptions

Medical PPO Summary Plan Description

Medical HDHP Summary Plan Description

2022 BCBSTX Medical Plan Booklet PPO

2022 BCBSTX Benefit Plan Booklet HDHP

Dental Summary Plan Description

Genesis Energy Health and Welfare Benefits Plan Summary Plan Description

TRIPLE-S Summary Plan Description

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

 

Forms/Guidelines

Fidelity QDRO – Guidelines

Benefits Dependent Verification Document Requirements

BenefitHub Employee Discount Program

 

PRINTED PLAN DOCUMENTS AND LEGAL NOTICES AVAILABLE

We have posted the SPDs, SBCs and Legal Notices online to help ensure you have easy access to your benefits information. If you prefer to receive a printed copy of the SPDs, SBCs or any legal notices, we will provide one to you at no charge. Contact the BenefitsConnections team at (877) 241-9624 or benefitsconnections@genlp.com to request a printed copy.

Employees whose benefit plan participation is governed by a collective bargaining unit must refer to the collective bargaining agreement to identify the benefit plans in which the collective bargaining unit participates. The benefits on this site do not apply to collective bargaining units.

*This site highlights your benefits. Official plan and insurance documents govern your rights and benefits under each plan. For more details about your benefits, including covered expenses, exclusions, and limitations, please refer to the individual summary plan description (SPD), plan document, or certificate of coverage for each plan. If any discrepancy exists between information on this site and the official plan contracts, the official plan contracts will prevail.