USA Choice and USA Select Plans E-Disclosure Statement

As the sponsor of the USA Health & Dental Plans, USA Choice and USA Select, (“the Plans”), we are obligated to furnish you with certain documents related to the Plans and your benefits under the Plans. We would like to provide several of these documents to you electronically. The documents are:

USA Choice Plan – Summary Plan Description

USA Choice Plan Benefits

USA Choice Plan Summary of Benefits & Coverage

USA Select Plan – Summary Plan Description

USA Select Plan Benefits

USA Select Plan Summary of Benefits & Coverage

USA Choice Plan & USA Select Plan 2023 Annual Notice Concerning Federal Laws and Acts

CHIP Notice

USA Choice & USA Select Health Plan Notices

Employee Health and Dental Plan Eligibility

Glossary of Health Coverage & Medical Terms

2023 Marketplace Notice – University of South Alabama

2023 Marketplace Notice - USA HealthCare Management, LLC

2023 Marketplace Notice - USA Health Care Authority

Annual Notice of Important University Policies

Notice of Nondiscrimination

Reporting of Child Abuse & Neglect

Notice of Title IX Policy

Invitation to Self Identify

Ethics & Compliance Hotline

USA Drug & Alcohol Abuse Prevention Program

Notice of Special Enrollment

USA Choice Plan & USA Select Plan 2024 Annual Notice Concerning Federal Laws & Acts 

 

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Our intention, if you consent, is to provide you access to these documents electronically via the above web links. The documents are available here as PDF documents. You will need a smartphone, tablet or computer that can open PDF documents, in order to review these documents. Your smartphone, tablet or computer will need PDF reader software, such as Adobe Acrobat Reader, to open and read the documents. You will also be able to download the documents for saving and printing at your convenience.

If we change the way we provide these documents (for example, change from PDF to some other format) so that there’s a material risk you won’t be able to receive or read the documents, we will send you a new notice like this one, and a new consent form.

If you consent to us providing you access to these documents electronically, you are free to withdraw that consent at any time. To do that, please notify us. Please send your notice of withdrawal of consent to: 

University of South Alabama
Human Resources 
650 Clinic Drive TRP III, Suite 2200 
Mobile, AL 36688 

or by email at employeebenefitshr@southalabama.edu.

Of course, you always have a right to request and obtain at no charge to you a paper version of any document we send you electronically. If you would like a paper copy, please contact us at the postal or email address listed above, in the preceding paragraph. We will either hand deliver or mail the documents to you, at the address you provide.