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Important Documents

Important Documents
Exchange Notice
2021 Exchange Notice Download
Exchange Notice Download
HIPAA Privacy
2021 HIPAA Privacy Download
2020 HIPAA Privacy Download
2019 HIPAA Privacy Download
Children's Health Insurance Program Reauthorization Act Notice
2021 Children's Health Insurance Program Notice Download
Children's Health Insurance Program Notice Download
Summary Annual Reports
2018 WoodmenLife 401(k) Plan SAR Download
2018 Associate Welfare Benefit Plan SAR Download
2018 Retiree Welfare Benefit Plan SAR Download
Summary of Benefit Coverage
2021 SBC Glossary of Terms Download
2020 SBC Glossary of Terms Download
2021 Select HRA Plan $2,000 – $4,000 SBC Download
2021 Select HRA Retiree Plan $3,500 – $7,000 SBC Download
2021 Select HSA Plan $1,500 – $3,000 SBC Download
2021 Select HSA Retiree Plan $3,000 – $6,000 SBC Download
2020 Select HRA Plan $2,000 – $4,000 SBC Download
2020 Select HRA Retiree Plan $3,500 – $7,000 SBC Download
2020 Select HSA Plan $1,500 – $3,000 SBC Download
2020 Select HSA Retiree Plan $3,000 – $6,000 SBC Download
2021 WoodmenLife Lucent HRA SBC Download
2020 WoodmenLife Cypress HRA SBC Download
2020-2021 Hawaii CompMed SBC Download
2020-2021 Hawaii Preferred Provider SBC Download
2020-2021 Hawaii Plus SBC Download
2019-2020 Hawaii CompMed SBC Download
2019-2020 Hawaii Preferred Provider SBC Download
2019-2020 Hawaii Plus SBC Download
Summary of Plan Descriptions
WoodmenLife 401(k) Plan SPD Download
WoodmenLife 401(k) SMM Download
Associate Welfare Benefit Plan SPD Download
Retiree Welfare Benefit Plan SPD Download
WoodmenLife Retirement Plan Employee SPD Download
WoodmenLife Retirement Plan Representatives SPD Download
WoodmenLife Retirement Plan SMM Download
Hawaii CompMed Plan Download
Hawaii Preferred Provider Plan Download
Hawaii Plus Plan Download


The information on this page is a partial description of benefits, limitations, exclusions, and other provisions of the group benefits provided by Woodmen of the World Life Insurance Society (WoodmenLife). If there is a difference between the information in this summary and the plan document for each plan, the plan documents govern. Eligibility requirements apply to each of the benefits offered, criteria may include employment status and/or individual qualifications. For more detailed information, refer to the Summary Plan Description of each plan. WoodmenLife may amend these plans at any time. The description of the plan is not a guarantee of benefits and should not be construed as such.

This is the Life is a registered service mark of Woodmen of the World Life Insurance Society.