Annual Benefits Notices and Plan Descriptions

Below are Summary Plan Descriptions for the College's benefits.  Questions about Summary Plan Descriptions should be addressed to the Benefits Manager at (434) 223-7224.

Medical

• Medical Insurance Forms:
  • Application
  • Election Participation Form
  • Spousal Affidavit
• Plan 7 Information
  • Insurance Rates:  Plan 7
  • Summary of Benefits and Coverage Plan 7
• Plan 11 Information
  • Insurance Rates:  Plan 11
  • Summary of Benefits and Coverage Plan 11
• Plan 12 Information
  
  • Insurance Rates:  Plan 12
  • Summary of Benefits and Coverage Plan 12

Dental

• Information On Low Option
• Information on High Option
• Dental Insurance Application

Vision

• Blue View Vision Information
• Vision Application

Flexible Spending Account and Health Savings Account

•  FSA (Health Equity) Enrollment Form
•  FSA Information
•  Limited Purpose FSA Information
•  Dependent Care Information
• HSA Contributions Structures
• HSA Member Brochure
• HSA Payroll Deduction Form

Employee Assistance Program (EAP)

Provides assistance for your everyday problems and questions, big or small, by phone, in-person or online, 24/7. Call (800) 346-5484 or visit anthemEAP.com and enter VPCBC to log in.

• Find child, elder, or pet care.
• Work on achieving work-life balance.
• Parent a child with special needs.
• Deal with addiction and recovery.
• Set retirement goals.
• Find mental health resources and information (5 Free counseling sessions per life event).
• Address financial or legal issues.
• Contact information: 1-800-346-5484.

Retirement

• 403(b) Retirement Summary Plan Description
• Hampden-Sydney College Retiree Healthcare Plan Document

The Hartford Life, Accident and Disability Insurance

• Life, Accident and Disability Insurance Plan Document
• Amendment to Life, Accident and Disability Plan Document
• Summary of Material Modifications