Plan & Policy Documents
These Summary Plan and Policy Descriptions are the policy documents for each specific benefit offered by Notre Dame: Medical, Dental, Prescription, Vision, Life Insurance, Retirement, and more. These documents provide certificates of coverage, details on eligibility, exclusions, appeals, and more.
Benefits Plan
- Summary Plan Description for The University of Notre Dame du Lac Group Benefits Plan (PDF)
This Summary Plan Description (“SPD”) describes employee benefits available to eligible faculty, staff and their families. The benefit plans included are the medical, dental, vision, life, long term disability and long term care benefit plans.
Medical Plans
- University of Notre Dame PPO Plan (PDF)
- University of Notre Dame PPO Plan July 2018 SMM (PDF)
- University of Notre Dame HMO Plan (PDF)
- University of Notre Dame HMO Plan July 2018 SMM (PDF)
- Indemnity Plan (PDF)
- Indemnity Plan July 2018 SMM (PDF)
- University of Notre Dame High Deductible Health Plan (PDF)
- University of Notre Dame High Deductible Health Plan July 2018 SMM (PDF)
- HDHP – Metropolitan Life Accident Contract (PDF)
- HDHP – Metropolitan Life Accident Certificate of Coverage (PDF)
- HDHP – Metropolitan Life Critical Illness Contract (PDF)
- HDHP – Metropolitan Life Critical Illness Certificate of Coverage (PDF)
Cigna Global Health Plan
(For international travel on University business for one semester or longer)
- Cigna Global Health Plan Policy (PDF)
- Cigna Global Health Plan Certificate (PDF)
- Cigna Global Health Plan Benefits at a Glance (PDF)
Dental Plans
- Delta Dental Plan Certificate (PDF).
This Certificate, along with your Summary of Dental Plan Benefits (see below), describes the specific benefits of your Delta Dental program and how to use them. - Delta Dental Premier (PPO) Summary of Benefits (PDF)
- Delta Dental (PPO) POS Summary of Benefits (PDF)
Prescription Drug Benefit
- OptumRX (PDF)
- Pharmacy Coverage July 2018 SMM (PDF)
Vision Insurance
- Fidelity Security Life Insurance Company – for EyeMed (PDF)
- EyeMed Vision Care Services Summary (PDF)
Accident Insurance
- HDHP – Metropolitan Life Accident Contract (PDF)
- HDHP – Metropolitan Life Accident Certificate of Coverage (PDF)
- Metropolitan Life Accident Contract (PDF)
- Metropolitan Life Accident Certificate of Coverage (PDF)
Critical Illness Insurance
- HDHP – Metropolitan Life Critical Illness Contract (PDF)
- HDHP – Metropolitan Life Critical Illness Certificate of Coverage (PDF)
- Metropolitan Life Critical Illness Contract (PDF)
- Metropolitan Life Critical Illness Certificate of Coverage (PDF)
Life Insurance
- Minnesota Life (PDF)
Long-Term Care
- Prudential (PDF)
Long-Term Disability
- Faculty and Exempt Staff (PDF)
- Nonexempt Staff (PDF)
Retiree Medical Plans
- Retiree PPO Plan (PDF)
- Retiree CHA HMO Plan (PDF)
- Retiree Select HMO Plan (PDF)
- Retiree Indemnity Plan (PDF)
Retirement Programs
- University of Notre Dame 403(b) Retirement Plan (Faculty and Staff) (PDF)
- University of Notre Dame 403(b) Retirement Plan (Choice-Eligible Grandfathered) (PDF)
Pension Plan
- Employees’ Pension Plan (PDF)
