top of page
Legal Notices and Plan Documents
Please see below for notices related to your healthcare and benefits provided by Penn Stainless Products.​
2023 Summary Plan Document (https://51ffe31a-367e-4d24-aee7-bc3a6db21df6.usrfiles.com/ugd/51ffe3_945aeef6b80a447081b32d4286cdb577.pdf)
Summary of Benefits and Coverage - QHDHP (HSA Plan) (https://51ffe31a-367e-4d24-aee7-bc3a6db21df6.usrfiles.com/ugd/51ffe3_08f5789bf59248f0ae37044abccf28f5.pdf)
Summary of Benefits and Coverage - PPO Plan (https://51ffe31a-367e-4d24-aee7-bc3a6db21df6.usrfiles.com/ugd/51ffe3_4e3354eaa9ae412b8e72bad20665a0d9.pdf)
Summary of Benefits and Coverage - PPO Plus Plan (https://51ffe31a-367e-4d24-aee7-bc3a6db21df6.usrfiles.com/ugd/51ffe3_3a55ddc9794247b999b57de4d2859371.pdf)
Special Enrollments Rights, Marketplace information, Women's Health & Cancer Rights, and CHIP Notices(https://51ffe31a-367e-4d24-aee7-bc3a6db21df6.usrfiles.com/ugd/51ffe3_9ecc47e44f394ef2a303f37599d9797c.pdf)
Notice of Privacy Practices (https://51ffe31a-367e-4d24-aee7-bc3a6db21df6.usrfiles.com/ugd/51ffe3_284af29b057d40d786729a9d0ccdf41d.pdf)
Your Rights and Protections Against Surprise Medical Bills(https://51ffe31a-367e-4d24-aee7-bc3a6db21df6.usrfiles.com/ugd/51ffe3_9e906883a37f45baa571737ff6606e48.pdf)
HIPAA Privacy Notice(https://51ffe31a-367e-4d24-aee7-bc3a6db21df6.usrfiles.com/ugd/51ffe3_c6031cf09df54a8a96ace239e58837b8.pdf)
Click here
(https://51ffe31a-367e-4d24-aee7-bc3a6db21df6.usrfiles.com/ugd/51ffe3_a5f2eb26bff440db825cdda779bcc4ed.pdf)
Plan details coming soon.
Medicare c(https://51ffe31a-367e-4d24-aee7-bc3a6db21df6.usrfiles.com/ugd/51ffe3_5822f451343542128ecfdbd14ab7ce32.pdf)reditable c(https://51ffe31a-367e-4d24-aee7-bc3a6db21df6.usrfiles.com/ugd/51ffe3_5822f451343542128ecfdbd14ab7ce32.pdf)overage disclosure notice(https://51ffe31a-367e-4d24-aee7-bc3a6db21df6.usrfiles.com/ugd/51ffe3_5822f451343542128ecfdbd14ab7ce32.pdf)
Click here (https://51ffe31a-367e-4d24-aee7-bc3a6db21df6.usrfiles.com/ugd/51ffe3_063eca67b7fd47edb24f5e4de5b7748f.pdf)to read a Privacy Notice.
bottom of page
