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.
2022 SBCs:
Total Health PPO Plan
- Sandia Total Health BCBSNM
- Sandia Total Health Kaiser Permanente
- Sandia Total Health UHC (Tier 1)
- Sandia Total Health UHC (Tier 2)
- Sandia Total Health UHC (out-of-area)
Health Savings Plan
- Sandia Health Savings Plan BCBSNM
- Sandia Health Savings Plan UHC (Tier 1)
- Sandia Health Savings Plan UHC (Tier 2)
- Sandia Health Savings Plan UHC (out-of-area)
2023 SBCs:
Total Health PPO Plan
- Sandia Total Health BCBSNM
- Sandia Total Health Kaiser Permanente
- Sandia Total Health UHC (Tier 1)
- Sandia Total Health UHC (Tier 2)
- Sandia Total Health UHC (out-of-area)
Health Savings Plan
- Sandia Health Savings Plan BCBSNM
- Sandia Health Savings Plan UHC (Tier 1)
- Sandia Health Savings Plan UHC (Tier 2)
- Sandia Health Savings Plan UHC (out-of-area)
Healthcare Benefits for Retirees
NTESS Health Benefits Plan for Retirees Summary Plan Description (SPD) (Jan. 2021)
Sandia Total Health administered by UnitedHealthcare Program Summary (Jan. 2021)
Sandia Total Health administered by Kaiser Permanente Program Summary (Jan. 2021)
Sandia Total Health administered by Blue Cross Blue Shield of New Mexico Program Summary (Jan. 2021)
Dental Care Program (DCP) Program Summary (Jan. 2021)
Affinity Discount Vision Program through Davis Vision (Jan. 2021)
NTESS Health Benefits Plan for Retirees Summary Plan Description (SPD) (Jan. 2021)
Your Spending Arrangement (YSA) Program Summary (Jan. 2021)
UnitedHealthcare Group Medicare Advantage PPO Evidence of Coverage (2019)
BCBSNM Medicare Plan Evidence of Coverage (2016)
Kaiser Senior Advantage Plan with Part D Evidence of Coverage (2019)
Kaiser Senior Advantage Plan Chiropractic Services Amendment Evidence of Coverage (2019)
Dental Care Program (DCP) Program Summary (Jan. 2021)
Affinity Discount Vision Program through Davis Vision (Jan. 2021)
Required Notices
Notice of Protection Against Surprise Billing Model (Dec. 2021)
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
401(k) Plan
Savings Income Plan (SIP) Summary Plan Description (Jan. 2022)
Life Insurance and Disability Protection
Sandia Accident/Business Travel Accident Insurance Plans Summary Plan Description (Jan. 2019)
Sandia Group Term Life Insurance Plans Summary Plan Descriptions (Dec. 2019)
Sandia Voluntary Life and Accident Insurance Plans Summary Plan Descriptions (May 2017)
SNL Group Long-Term Disability Plan (Jan. 2019)
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 2021, prepared in 2022, as required by the Department of Labor.
2021 Summary Annual Report (Dec. 2022)
Termination Pay Plan
Termination Pay Plan Summary Plan Description (Jul. 2018)
Form 5500s
2021 PN-006 NTESS Retirement Income Plan (Oct. 2022)
2021 PN-008 NTESS Savings & Income Plan (Oct. 2022)
2021 PN-506 Basic Group Term Life Insurance Plan (Dec. 2022)
2021 PN-507 Basic Supplemental Group Term Life Insurance Plan (Dec. 2022)
2021 PN-508 Accident/Business Travel Accident Insurance Plan for Non-Represented Employees (Dec. 2022)
2021 PN-509 Accident/Business Travel Accident Insurance Plan for Represented Employees (Dec. 2022)
2021 PN-514 Non Occupation Illness/Injury While on Travel Status Plan (Dec. 2022)
2021 PN-519 Health, Work, Family Benefit (Dec. 2022)
2021 PN-520 Primary Group Term Life Insurance Plan (Dec. 2022)
2021 PN-521 Voluntary Term Life Insurance Plan (Dec. 2022)
2021 PN-525 Employee Voluntary Separation Incentive Plan (Dec. 2022)
2021 PN-535 Termination Pay Plan (Dec. 2022)
2021 PN-540 Health Benefits Plan for Employees (Dec. 2022)
2021 PN-545 Health Plan for Retirees (Dec. 2022)
2021 PN-546 Voluntary Benefits Plan (Dec. 2022)
2021 PN-550 Long Term Care (Dec. 2022)
2021 PN-556 Dependent Group Life Insurance Plan (Dec. 2022)
2021 PN-557 Voluntary Group Accident Insurance Plan (Dec. 2022)
2021 PN-565 Flexible Spending Accounts Plan (Dec. 2022)
Employee Benefits Eligibility Grid
Employee Benefits Eligibility Grid (Jan. 2022)
If you have questions or would like printed copies of any of these documents, contact HR Solutions at 505-284-4700, option 2
