Summary Plan Descriptions (Detailed)

Summary Plan Descriptions

Please note that amendments to the Summary Plan Descriptions are forthcoming as our plans undergo changes to comply with national healthcare reform as legislated by the Affordable Care Act.

Medical

Amendments

• CARES Act Notice Expanded (All Plans)
• GGUSD Amd #1 LHO & FFCRA (PPO/EPO) (eff. 03-01-2020)
• GGUSD Amd #2 Rehabilitation Therapy (PPO) (eff. 07-01-2020)
• GGUSD Amd #3 LHO Copay (PPO/EPO) (eff. 01-01-2021)

PPO

• GGUSD Self-Insured PPO Medical SPD 
  PPO members reference all pages except for pages 6-9.

EPO

• GGUSD Self-Insured EPO Medical SPD 
  EPO members reference all pages except for pages 10-13.

HMO Anthem Blue Cross

• Anthem HMO Medical Plan Summary 2017
• Anthem HMO Medical Plan Summary 2021
• Anthem HMO Prescription Drug Summary
• Anthem HMO Exclusions and Limitations
• Anthem HMO eKit
• Anthem HMO EOC

Dental

PPO

• GGUSD Self-Insured Guardian Dental PPO

HMO

• United Concordia Dental HMO Schedule of Benefits

Vision

• GGUSD VSP SPD

Flexible Spending Account

• FSA Summary Plan Description
• FSA PLAN DOCUMENT AMENDMENT - COVID-19 OTC items coverage