Documents & Forms
Plan documents, compliance notices, forms and more.
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Médico
These documents provide detailed information about the plans provided under the Employment Retirement Income Security Act of 1974. They contain the plan administrator’s identity, requirements for eligibility and participation in the plan, circumstances that may result in disqualification or denial of benefits, and the identity of insurers.
Summary Plan Description (SPDs)
Johns Hopkins EPO Plan + Short-term Disability SPD
Johns Hopkins PPO Plan + Short-term Disability SPD
Johns Hopkins DPC Plan + Short-term Disability SPD
Summary of Benefits and Coverage (SBC)
Johns Hopkins PPO Plan SBCs:
Johns Hopkins DPC Plan SBCs:M
Summary of Material Modifications (SMM)
SMM for Johns Hopkins EHP Plans + Short-Term Disability SPD
Dental and vision
Superior Vision Benefits Summary
Life insurance and disability
Basic Life and AD&D Insurance Certificate
Disability Income Insurance Certificate
Retirement plan documents
Pension Summary Plan Description
403(b) Summary Plan Description
Compliance notices
Medicare Part D Creditable Coverage Notice
Notice of Privacy Practices for Health Plans
HIPAA Notice of Privacy Practices:
Premium Assistance Under Medicaid and CHIP
Plan Year 2023-2024 Summary Annual Report
DC Paid Family Leave Law Notice (English | Español)
Forms
Médico
These documents provide detailed information about the plans provided under the Employment Retirement Income Security Act of 1974. They contain the plan administrator’s identity, requirements for eligibility and participation in the plan, circumstances that may result in disqualification or denial of benefits, and the identity of insurers.
Summary Plan Description (SPDs)
Johns Hopkins EPO Plan + Short-term Disability SPD
Johns Hopkins PPO Plan + Short-term Disability SPD
Johns Hopkins DPC Plan + Short-term Disability SPD
Summary of Benefits and Coverage (SBC)
Johns Hopkins PPO Plan SBCs:
Johns Hopkins DPC Plan SBCs:
Summary of Material Modifications (SMM)
SMM for Johns Hopkins EHP Plans + Short-Term Disability SPD
Dental and vision
Superior Vision Benefits Summary
Life insurance and disability
Basic Life and AD&D Insurance Certificate:
Disability Income Insurance Certificate
Retirement plan documents
Pension Summary Plan Description
403(b) Summary Plan Description
Compliance notices
Medicare Part D Creditable Coverage Notice
Notice of Privacy Practices for Health Plans
HIPAA Notice of Privacy Practices:
Premium Assistance Under Medicaid and CHIP
Plan Year 2023-2024 Summary Annual Report
DC Paid Family Leave Law Notice (English | Español)
Forms
Médico
These documents provide detailed information about the plans provided under the Employment Retirement Income Security Act of 1974. They contain the plan administrator’s identity, requirements for eligibility and participation in the plan, circumstances that may result in disqualification or denial of benefits, and the identity of insurers.
Summary Plan Description (SPDs)
Johns Hopkins EPO Plan + Short-term Disability SPD
Johns Hopkins PPO Plan + Short-term Disability SPD
Johns Hopkins DPC Plan + Short-term Disability SPD
Summary of Benefits and Coverage (SBC)
Johns Hopkins PPO Plan SBCs:
Johns Hopkins DPC Plan SBCs:
Summary of Material Modifications (SMM)
SMM for Johns Hopkins EHP Plans + Short-Term Disability SPD
Dental and vision
Superior Vision Benefits Summary
Life insurance and disability
Basic Life and AD&D Insurance Certificate
Disability Income Insurance Certificate
Retirement plan documents
Pension Summary Plan Description
403(b) Summary Plan Description
Compliance notices
Notice of New Jersey Temporary Disability Benefits
Medicare Part D Creditable Coverage Notice
Notice of Privacy Practices for Health Plans
HIPAA Notice of Privacy Practices:
Premium Assistance Under Medicaid and CHIP
Plan Year 2023-2024 Summary Annual Report
DC Paid Family Leave Law Notice (English | Español)
Forms
Médico
These documents provide detailed information about the plans provided under the Employment Retirement Income Security Act of 1974. They contain the plan administrator’s identity, requirements for eligibility and participation in the plan, circumstances that may result in disqualification or denial of benefits, and the identity of insurers.
Summary Plan Description (SPDs)
Johns Hopkins EPO Plan + Short-term Disability SPD
Johns Hopkins PPO Plan + Short-term Disability SPD
Johns Hopkins DPC Plan + Short-term Disability SPD
Summary of Benefits and Coverage (SBC)
Johns Hopkins PPO Plan SBCs:
Johns Hopkins DPC Plan SBCs:
Summary of Material Modifications (SMM)
SMM for Johns Hopkins EHP Plans + Short-Term Disability SPD
Dental and vision
Superior Vision Benefits Summary
Life insurance and disability
Basic Life and AD&D Insurance Certificate
Disability Income Insurance Certificate
Retirement plan documents
Pension Summary Plan Description
403(b) Summary Plan Description
Compliance notices
Medicare Part D Creditable Coverage Notice
Notice of Privacy Practices for Health Plans
HIPAA Notice of Privacy Practices:
Premium Assistance Under Medicaid and CHIP
Plan Year 2023 Summary Annual Report
DC Paid Family Leave Law Notice (English | Español)
Forms
Médico
These documents provide detailed information about the plans provided under the Employment Retirement Income Security Act of 1974. They contain the plan administrator’s identity, requirements for eligibility and participation in the plan, circumstances that may result in disqualification or denial of benefits, and the identity of insurers.
Summary Plan Description (SPDs)
Johns Hopkins EPO Plan + Short-term Disability SPD
Johns Hopkins PPO Plan + Short-term Disability SPD
Johns Hopkins DPC Plan + Short-term Disability SPD
Summary of Benefits and Coverage (SBC)
Johns Hopkins PPO Plan SBCs:
Johns Hopkins DPC Plan SBCs:
Summary of Material Modifications (SMM)
SMM for Johns Hopkins EHP Plans + Short-Term Disability SPD
Dental and vision
Superior Vision Benefits Summary
Life insurance and disability
Basic Life and AD&D Insurance Certificate
Disability Income Insurance Certificate
Retirement plan documents
Pension Summary Plan Description
403(b) Summary Plan Description
Compliance notices
Medicare Part D Creditable Coverage Notice
Notice of Privacy Practices for Health Plans
HIPAA Notice of Privacy Practices:
Premium Assistance Under Medicaid and CHIP
Plan Year 2023 Summary Annual Report
DC Paid Family Leave Law Notice (English | Español)
Forms
Médico
These documents provide detailed information about the plans provided under the Employment Retirement Income Security Act of 1974. They contain the plan administrator’s identity, requirements for eligibility and participation in the plan, circumstances that may result in disqualification or denial of benefits, and the identity of insurers.
Summary Plan Description (SPDs)
Johns Hopkins EPO Plan + Short-term Disability SPD
Johns Hopkins PPO Plan + Short-term Disability SPD
Johns Hopkins DPC Plan + Short-term Disability SPD
Summary of Benefits and Coverage (SBC)
Johns Hopkins PPO Plan SBCs:
Johns Hopkins DPC Plan SBCs:
Summary of Material Modifications (SMM)
SMM for Johns Hopkins EHP Plans + Short-Term Disability SPD
Dental and vision
Superior Vision Benefits Summary
Life insurance and disability
Basic Life and AD&D Insurance Certificate
Disability Income Insurance Certificate
Retirement plan documents
401(k) Summary Plan Description
Compliance notices
Medicare Part D Creditable Coverage Notice
Notice of Privacy Practices for Health Plans
HIPAA Notice of Privacy Practices:
Premium Assistance Under Medicaid and CHIP
Plan Year 2023 Summary Annual Report
DC Paid Family Leave Law Notice (English | Español)
Forms
Médico
These documents provide detailed information about the plans provided under the Employment Retirement Income Security Act of 1974. They contain the plan administrator’s identity, requirements for eligibility and participation in the plan, circumstances that may result in disqualification or denial of benefits, and the identity of insurers.
Summary Plan Description (SPDs)
Johns Hopkins EPO Plan + Short-term Disability SPD
Johns Hopkins PPO Plan + Short-term Disability SPD
Johns Hopkins DPC Plan + Short-term Disability SPD
Summary of Benefits and Coverage (SBC)
Johns Hopkins PPO Plan SBCs:
Johns Hopkins DPC Plan SBCs:
Summary of Material Modifications (SMM)
SMM for Johns Hopkins EHP Plans + Short-Term Disability SPD
Dental and vision
Superior Vision Benefits Summary
Life insurance and disability
Basic Life and AD&D Insurance Certificate
Disability Income Insurance Certificate
Retirement plan documents
Pension Summary Plan Description
403(b) Summary Plan Description
Compliance notices
Medicare Part D Creditable Coverage Notice
Notice of Privacy Practices for Health Plans
HIPAA Notice of Privacy Practices:
Premium Assistance Under Medicaid and CHIP
Plan Year 2023 Summary Annual Report
DC Paid Family Leave Law Notice (English | Español)
Forms
Médico
These documents provide detailed information about the plans provided under the Employment Retirement Income Security Act of 1974. They contain the plan administrator’s identity, requirements for eligibility and participation in the plan, circumstances that may result in disqualification or denial of benefits, and the identity of insurers.
Summary Plan Description (SPDs)
Johns Hopkins EPO Plan + Short-term Disability SPD
Johns Hopkins PPO Plan + Short-term Disability SPD
Johns Hopkins DPC Plan + Short-term Disability SPD
Summary of Benefits and Coverage (SBC)
Johns Hopkins PPO Plan SBCs:
Johns Hopkins DPC Plan SBCs:
Summary of Material Modifications (SMM)
SMM for Johns Hopkins EHP Plans + Short-Term Disability SPD
Dental and vision
Superior Vision Benefits Summary
Life insurance and disability
Basic Life and AD&D Insurance Certificate
Disability Income Insurance Certificate
Retirement plan documents
401(k) Summary Plan Description
403(b) Summary Plan Description
Compliance notices
Medicare Part D Creditable Coverage Notice
Notice of Privacy Practices for Health Plans
HIPAA Notice of Privacy Practices:
Premium Assistance Under Medicaid and CHIP
Plan Year 2023 Summary Annual Report
DC Paid Family Leave Law Notice (English | Español)
Forms
Médico
These documents provide detailed information about the plans provided under the Employment Retirement Income Security Act of 1974. They contain the plan administrator’s identity, requirements for eligibility and participation in the plan, circumstances that may result in disqualification or denial of benefits, and the identity of insurers.
Summary Plan Description (SPDs)
Johns Hopkins EPO Plan + Short-term Disability SPD
Johns Hopkins PPO Plan + Short-term Disability SPD
Johns Hopkins DPC Plan + Short-term Disability SPD
Summary of Benefits and Coverage (SBC)
Johns Hopkins PPO Plan SBCs:
Johns Hopkins DPC Plan SBCs:
Summary of Material Modifications (SMM)
SMM for Johns Hopkins EHP Plans + Short-Term Disability SPD
Dental and vision
Superior Vision Benefits Summary
Life insurance and disability
Basic Life and AD&D Insurance Certificate
Disability Income Insurance Certificate
Retirement plan documents
Pension Summary Plan Description
403(b) Summary Plan Description
Compliance notices
Medicare Part D Creditable Coverage Notice
Notice of Privacy Practices for Health Plans
HIPAA Notice of Privacy Practices:
Premium Assistance Under Medicaid and CHIP
Plan Year 2023 Summary Annual Report (Health Benefits)
Plan Year 2022 Summary Annual Report (Life Insurance and Long-Term Disability)
DC Paid Family Leave Law Notice (English | Español)
Forms
Adoption Assistance Application
Médico
These documents provide detailed information about the plans provided under the Employment Retirement Income Security Act of 1974. They contain the plan administrator’s identity, requirements for eligibility and participation in the plan, circumstances that may result in disqualification or denial of benefits, and the identity of insurers.
Summary Plan Description (SPDs)
Johns Hopkins EPO Plan + Short-term Disability SPD
Johns Hopkins PPO Plan + Short-term Disability SPD
Allegiance Flexible Spending Account SPD
Summary of Benefits and Coverage (SBC)
Johns Hopkins PPO Plan SBCs:
Dental and vision
Allegiance Dental Summary Plan Description (SPD)
Superior Vision Benefits Summary
Life insurance and disability
Basic Life and AD&D Insurance Certificate
Disability Income Insurance Certificate
Disability Income Insurance Certificate (Physicians)
Short-Term Disability Summary Plan Description
Retirement plan documents
403(b) Summary Plan Description
457(b) Retirement Plan Highlights (Physicians only)
Compliance notices
Medicare Part D Creditable Coverage Notice
Notice of Privacy Practices for Health Plans
HIPAA Notice of Privacy Practices:
Premium Assistance Under Medicaid and CHIP
Plan Year 2023 Summary Annual Report
DC Paid Family Leave Law Notice (English | Español)
Forms
Médico
These documents provide detailed information about the plans provided under the Employment Retirement Income Security Act of 1974. They contain the plan administrator’s identity, requirements for eligibility and participation in the plan, circumstances that may result in disqualification or denial of benefits, and the identity of insurers.
Summary Plan Description (SPDs)
Johns Hopkins EPO Plan + Short-term Disability SPD
Johns Hopkins PPO Plan + Short-term Disability SPD
Johns Hopkins DPC Plan + Short-term Disability SPD
Summary of Benefits and Coverage (SBC)
Johns Hopkins PPO Plan SBCs:
Johns Hopkins DPC Plan SBCs:
Summary of Material Modifications (SMM)
SMM for Johns Hopkins EHP Plans + Short-Term Disability SPD
Dental and vision
Superior Vision Benefits Summary
Life insurance and disability
Basic Life and AD&D Insurance Certificate
Disability Income Insurance Certificate
Retirement plan documents
403(b) Summary Plan Description
Compliance notices
Medicare Part D Creditable Coverage Notice
Notice of Privacy Practices for Health Plans
HIPAA Notice of Privacy Practices:
Premium Assistance Under Medicaid and CHIP
Plan Year 2023 Summary Annual Report
DC Paid Family Leave Law Notice (English | Español)
Forms
Total Compensation Statements
A total compensation statement is a summary of your gross compensation and benefit costs for each calendar year, including how much the Johns Hopkins Health System (JHHS) contributes toward your benefits.
Your benefits are an important part of your total compensation package, which includes:
- Base salary, overtime pay, bonuses, or any other cash compensation
- Contributions to your retirement account from JHHS
- Health benefits such as medical, dental, and vision
- Income protection for you and your loved ones in the event of injury, disability, hospitalization, or death
- Work-life support such as paid time off, well-being programs, tuition assistance, and discounted insurance options
You’re encouraged to download your statement to keep for your records. Log into SmartSource y seleccione View my Total Compensation Statement on the homepage.
Contactos
HR Support Center
Preguntas generales
443-997-5400
[email protected]