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 Total Health administered by UnitedHealthcare Program Summary (Jan. 2020)
Sandia Total Health administered by Kaiser Permanente Program Summary (Jan. 2020)
Sandia Total Health administered by Blue Cross and Blue Shield of New Mexico Program Summary (Jan. 2020)
Sandia Onsite Clinic Program Summary (Jan. 2018)
Dental Care Program (DCP) Program Summary (Jan. 2020)
Vision Care Program (VCP) Program Summary (Jan. 2020)
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 SPD and program summaries which are also legally-required documents.
2020 SBCs:
SBC for Sandia Total Health BCBSNM
SBC for Sandia Total Health Kaiser Permanente
SBC for Sandia Total Health UHC (standard)
SBC for Sandia Total Health UHC (out-of-area)
(Note: This plan only applies to approximately 40 Sandians)
2021 SBCs:
SBC for Sandia Total Health BCBSNM
SBC for Sandia Total Health Kaiser Permanente
Healthcare Benefits for Retirees
NTESS Health Benefits Plan for Retirees Summary Plan Description (SPD) (Jan. 2020)
Sandia Total Health administered by UnitedHealthcare Program Summary (Jan. 2020)
Sandia Total Health administered by Kaiser Permanente Program Summary (Jan. 2020)
Sandia Total Health administered by Blue Cross Blue Shield of New Mexico Program Summary (Jan. 2020)
Dental Care Program (DCP) Program Summary (Jan. 2020)
Affinity Discount Vision Program through Davis Vision (Jan. 2020)
NTESS Health Benefits Plan for Retirees Summary Plan Description (SPD) (Jan. 2020)
Your Spending Arrangement (YSA) Program Summary (Jan. 2020)
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. 2020)
Affinity Discount Vision Program through Davis Vision (Jan. 2020)
Pension Plans
401(k) Plan
Savings Income Plan (SIP) Summary Plan Description (Jan. 2020)
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 (Nov. 2020)
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 2018, prepared in 2019, as required by the Department of Labor.
2018 Summary Annual Reports (Dec. 2019)
Termination Pay Plan
Termination Pay Plan Summary Plan Description (Jul. 2018)
Form 5500s
2018 PN-006 NTESS Retirement Income Plan (Oct. 2019)
2018 PN-008 NTESS Savings & Income Plan (Oct. 2019)
2016 PN-506 Basic Group Term Life Insurance Plan (May 2018)
2016 PN-507 Basic Supplemental Group Term Life Insurance Plan (May 2018)
2016 PN-508 Sandia Accident/Business Travel Accident Insurance Plan for Non-Represented Employees (May 2018)
2016 PN-509 Sandia Accident/Business Travel Accident Insurance Plan for Represented Employees (May 2018)
2015 PN-519 Sandia Corporation Health, Work, Family Benefit (Dec. 2016)
2016 PN-520 Primary Group Term Life Insurance Plan (May 2018)
2016 PN-521 Voluntary Term Life Insurance Plan (May 2018)
2015 PN-540 Health Benefits Plan for Employees (Dec. 2016)
2015 PN-545 Sandia Corporation Health Plan for Retirees (Dec. 2016)
2015 PN-550 Long Term Care (Dec. 2016)
2016 PN-556 Dependent Group Life Insurance Plan (May 2018)
2016 PN-557 Voluntary Group Accident Insurance Plan (May 2018)
Employee Benefits Eligibility Grid
If you have questions or would like printed copies of any of these documents, contact HR Solutions at 505-284-4700, option 2
