Define: Summary Plan Description

Summary Plan Description
Summary Plan Description
Quick Summary of Summary Plan Description

The summary plan description is a document that details the employee benefit plan, including the plan administrator, eligibility requirements, reasons for benefit denial, and any involved insurance companies. It is required to be provided to all participating employees.

Full Definition Of Summary Plan Description

The summary plan description (SPD) is a document that provides detailed information about an employee benefit plan. It is required by the Employee Retirement Income Security Act (ERISA) and must be given to all participants and beneficiaries of the plan. The SPD includes important details such as the contact information of the plan administrator, the eligibility and participation requirements, circumstances that may lead to disqualification or denial of benefits, and the identity of any insurers responsible for financing or administering the plan. For instance, if an employee is eligible for a company’s 401(k) plan, the SPD would outline the specific participation requirements, such as minimum age or length of employment, and explain the consequences of not meeting these requirements, such as being ineligible for employer contributions. Similarly, for a health insurance plan, the SPD would provide information about the covered benefits, such as doctor visits and prescription drugs, as well as any limitations or exclusions, such as pre-existing conditions.

Summary Plan Description FAQ'S

– An SPD is a document that provides a summary of the key features of an employee benefit plan, such as health insurance or retirement benefits.

– No, the SPD is a summary of the plan document, which is the legal document that outlines all the details and provisions of the benefit plan.

– Employers are required to provide an SPD to all plan participants, including employees and beneficiaries.

– An SPD typically includes information about eligibility, coverage options, how to file claims, and the rights and responsibilities of plan participants.

– Yes, as long as certain requirements are met, such as obtaining consent from the recipient and ensuring the electronic version is easily accessible.

– In the event of a conflict, the plan document will typically take precedence over the SPD.

– No, any material changes to the plan must be communicated to participants through an updated SPD or a separate summary of material modifications.

– If you are a plan participant and have not received an SPD, you should request a copy from your employer or plan administrator.

– Yes, plan participants have the right to sue for benefits if the SPD is inaccurate or incomplete, as it is a violation of ERISA (Employee Retirement Income Security Act) regulations.

– An SPD should be updated whenever there are material changes to the benefit plan, and it should be provided to participants within 90 days of the changes.

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This site contains general legal information but does not constitute professional legal advice for your particular situation. Persuing this glossary does not create an attorney-client or legal adviser relationship. If you have specific questions, please consult a qualified attorney licensed in your jurisdiction.

This glossary post was last updated: 17th April 2024.

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