Official plan and insurance documents govern your rights and benefits under each plan. For more details about your benefits, including covered expenses, exclusions, and limitations, please refer to the individual Summary Plan
Descriptions (SPDs), plan document, and/or certificate of coverage for each plan. Your SPDs can be obtained at mybenefits@jax.ufl.edu; you may also request a copy free of charge by calling 904-244-9610.
Links to various important notices about your rights under your health and welfare plan (UF Health Jacksonville / Shands Jacksonville Medical Center, Inc. Benefit Plans), the “Plan” can be found below.
GatorCare Notice of Privacy Practices
This notice describes how medical information about you may be used and disclosed and how you can get access to this information.
Medicare Creditable Coverage Disclosure Notice
Important Notice from UF Health Jacksonville / Shands Jacksonville Medical Center, Inc. about your Prescription Drug Coverage and Medicare
Required Federal Notices Regarding Health Plan Rights
Information related to the following can be found here.
— Women’s Health and Cancer Rights Act
— Newborn’s and Mothers’ Health Protection Act Disclosure
— Mental Health Parity
Premium Assistance Under Medicaid and the Children’s Health Insurance Program (CHIP)
If you or your children are eligible for Medicaid or CHIP and you’re eligible for health coverage from your employer, your state may have a premium assistance program that can help pay for
coverage, using funds from their Medicaid or CHIP programs.
HIPAA Special Enrollment Rights
If you are declining enrollment for yourself or your dependents (including your spouse) because of other health insurance or group health plan coverage, you may be able to enroll yourself and your dependents in the UF Health Jacksonville / Shands Jacksonville Medical Center, Inc. group health plan.
Continuation of Coverage (COBRA)
Employee Retirement Income Security Act of 1974 (ERISA)
As a participant in the UF Health Jacksonville / Shands Jacksonville Medical Center, Inc. benefit plans, you are entitled to certain rights and protections under the Employee Retirement Income Security Act of 1974 (ERISA).
Uniformed Services Employment and Reemployment Rights Act (USERRA)
Rights associated with being absent from work due to active military duty.
2024 Annual Summary Report
The annual Summary Annual Reports (SARs) provides a brief overview of the plan’s financial activities and status for the past year, helping you understand how the plan is managed. If you have any questions or would like to review the full report, please contact HR.