Western Maryland Health System

Summary Plan Descriptions

Listed below are summary plan descriptions (click on the form name to open and print).

Form	Purpose
Medical Plan Summary Plan Description as of 1/1/2009 - (PDF File)	A printable copy of the Summary Plan Description of WMHS employee medical plan
Amendments Document 1 – (PDF File) Amendments Document 2 – (PDF File) Amendments Document 3 – (PDF File) Amendments Document 4 pg. 1 – (PDF File) Amendments Document 4 pg. 2 – (PDF File) Amendments Document 5 – (PDF File) Amendments Document 6 – (PDF File) Amendments Document 7 – (PDF File) Amendments Document 8 – (PDF File) Amendments Document 9 – (PDF File)	Printable copies of the medical plan amendments since the activation of the plan on 1/1/2009
FSA Summary Plan Description - (PDF File)	Printable copy of the flexible spending account summary plan description.
Dental Summary Plan Description Standard (Low Option) Premium (High Option)	Printable versions of the 2011 dental summary plan description.
Appeals Procedure - (PDF File)	Printable process for appealing a Delta Dental denied claim.
Short Term Disability Summary Plan Description - (PDF File)	Printable version of Short Term Disability summary plan description
Long Term Disability Summary Plan Description - (PDF File)	Printable version of Long Term Disability summary plan description
Vision Plan Description - (PDF File)	Printable copy of the Vision summary plan description
Voluntary Accidental Death and Dismemberment Insurance Certificate - (PDF File)	Printable version of Voluntary AD&D Insurance
Business Travel Accident Insurance Certificate - (PDF File)	Printable version of Business Travel Accident Insurance
Business Travel Amendment - (PDF File)	Printable version of a Business Travel amendment
Group Basic Life Insurance - (PDF File)	Printable version of Employer Paid Basic Life Insurance summary plan description
WMHS Pension Plan Summary Plan Description - (PDF File)	A printable copy of the WMHS Pension Plan Summary Plan Description.
WMHS 403b/Tax Sheltered Annuity Summary Plan Description - (PDF File)	Printable copy of the WMHS Tax Sheltered Annuity Thrift Savings Plan Summary Plan Description
UNUM Critical Illness Policy - (PDF File)	Printable copy of the voluntary benefit - UNUM Critical Illness
2009 Wrap SPD - (PDF File) 2010 Wrap Summary of Material Modifications and 7/1/2010 SMM - (PDF File) 1/1/2011 Privacy Notice - (PDF File)	Printable copy of the WMHS Benefits Program Summary Plan Description Printable copy of the material modifications to the original Wrap SPD Printable copy of the Health Insurance Privacy Notice

If you have any questions regarding this benefit, please call Human Resources at 240-964-8157 or 48159 or email June Ward, Benefits Coordinator at jward@wmhs.com or Jill Rowley, Benefits Assistant at jrowley@wmhs.com or call 240-964-8159.