What you need to know
This page provides links to many of the documents that govern Sandia’s benefit plans.
For example, a summary plan description (SPD) is a summary of many of the important features of your benefit plan. It covers eligibility, participant obligations, and provides important contact information for the plan’s fiduciaries.
Also, the Required Notices section below includes several required legal notices, including HIPAA Notice of Privacy Practices, Medicare Part D, CHIP, Women’s Health & Cancer Rights, and Newborns’ and Mothers’ Health Protection Act.
Healthcare Benefits for Employees
Sandia is required to provide an SBC for the medical plan in which you are enrolled. All SBCs are provided in a uniform format and are designed for you to better understand the coverage you have and allow you to compare your coverage options across different types of plans and insurance products. The SBCs do NOT replace the Summary Plan Descriptions (SPD) and program summaries which are also legally-required documents.
2025 SBCs:
Total Health PPO Plan
- Sandia Total Health BCBSNM (Active)
- Sandia Total Health BCBSNM (PreMedicare Retiree)
- Sandia Total Health BCBSNM Highlight Sheet
- Sandia Total Health Kaiser Permanente
- Sandia Total Health UHC (Tier 1)
- Sandia Total Health UHC (Tier 2)
- Sandia Total Health UHC Highlight Sheet
Health Savings Plan
- Sandia Health Savings Plan BCBSNM (Active)
- Sandia Health Savings Plan BCBSNM (PreMedicare Retiree)
- Sandia Health Savings Plan BCBSNM Highlight Sheet
- Sandia Health Savings Plan UHC (Tier 1)
- Sandia Health Savings Plan UHC (Tier 2)
- Sandia Health Savings Plan UHC Highlight Sheet
2024 SBCs:
Total Health PPO Plan
- Sandia Total Health BCBSNM (Active)
- Sandia Total Health BCBSNM (PreMedicare Retiree)
- Sandia Total Health Kaiser Permanente
- Sandia Total Health UHC (Tier 1)
- Sandia Total Health UHC (Tier 2)
Health Savings Plan
2024 Open Enrollment News (pdf)
2024 Medical Plan Comparison Chart (pdf)
2024 Dental Plan Comparison Chart (pdf)
2024 Vision Plan Comparison Chart (pdf)
2024 Full-Time Employee Monthly Premium Rates (pdf)
2024 Part-Time Employee Monthly Premium Rates (pdf)
2024 Open Enrollment At a Glance Flyer (pdf)
Healthcare Benefits for Retirees
Your Spending Arrangement (YSA) Program Summary
UnitedHealthcare Group Medicare Advantage PPO Evidence of Coverage
UnitedHealthcare Group Medicare Advantage PPO Complete Drug List
UnitedHealthcare Group Medicare Advantage PPO Additional Drug List
Humana HMO Evidence of Coverage
Required Notices
Notice of Protection Against Surprise Billing Model
No Surprises Act Billing Complaint Procedure
Health Plans HIPAA Notice of Privacy Practices
HIPAA Special Enrollment Periods
Disclosure of Medicare Part D Creditable Coverage Notice
Medicaid and the Children’s Health Insurance Program (CHIP) Notice
Newborns’ and Mothers’ Health Protection Act
Women’s Health and Cancer Rights Act
Notice of Continuation of Coverage Rights Under COBRA
Pension Plans
Life Insurance and Disability Protection
Summary Plan Description (SPD)
NTESS Health and Welfare Summary Plan Description (SPD) for Active Employees
Benefit Summaries
NTESS Group Long-Term Disability Plan
NTESS Business Travel AD&D Policy/Certificate Non-Rep
NTESS Business Travel AD&D Policy/Certificate Rep
NTESS Voluntary Life, Group Accident, and Dependent Group Life Insurance Benefit Summary
Adoption Assistance Program
Adoption Assistance Program Summary (Jan. 2021)
Summary Annual Report
The Employee Retirement Income Security Act of 1974 (ERISA) requires Sandia Corporation to furnish a Summary Annual Report for covered benefit plans to all participants and beneficiaries. The Summary Annual Report summarizes the financial information of benefit plans for plan year 2023, prepared in 2024, as required by the Department of Labor.
Termination Pay Plan
Termination Pay Plan Summary Plan Description (Jul. 2018)
Form 5500s
Note: Subsequent to the filing of IRS Forms 5500, for the calendar year 2022, ERISA Plans 540 and 545 were amended to transfer certain MetLife benefits from Plan 545 to Plan 540. Amended 2022 5500s for PN540 and PN545 are provided below.
2023 NTESS Savings & Income Plan 5500 & Audit
2023 NTESS Retirement & Income Plan 5500 & Audit
2023 PN-535 Termination Pay Plan
2023 PN-540 Health Benefits Plan for Employees
2023 PN-545 Health Benefits Plan for Retirees
If you have questions or would like printed copies of any of these documents, contact HR Solutions at 505-284-4700, option 2
