Documents Library

Creditable Coverage Notices

Please Note: Employees are responsible for providing Creditable Coverage Notices to their Medicare-enrolled dependents covered under the AI Fire group health plan.

October 2021

October 2022

October 2023

October 2024

October 2025

2023 Summary Plan Descriptions (SPDs)

PPO 1500/3000 SPD

PPO HSA 2000/4000 SPD

EPO HSA 4000/8000 SPD

SBCs

Please Note: The Affordable Care Act (ACA) requires all health plan issuers and group health plans to provide eligible employees with a Summary of Benefits and Coverage (SBC) and the Meaningful Access document. The SBC provides the employer and all participants/beneficiaries information to better understand their plan and allows them to compare coverage options.