Medical Plan Document and Disclosure Forms (MPDDs)

Please Note: The Summary Plan Description for each benefit design and the related rate filings filed with the California Department of Insurance for each design constitute the Group Insurance Trust Rating Manual. The Rating Manual contains information sufficient to verify that Health and related dental and vision plans satisfy the requirements of Section 419A(f)(6). The trustees are required to maintain a record of the Rating Manual for all years of operations. Upon written request addressed to the Trustees of the Group Insurance Trust, a participating employer, the representative of a participating employer, or the Commissioner of Internal Revenue may obtain access to view and copy any such records.