The Affordable Care Act requires organizations to provide their staff with a Summary Plan Description of the benefits plans available to them. Your responsibility is to acknowledge that you received the plan summary. One Community Health's responsibility is to provide the plan summary and report your acknowledgement.
You are not required to read the document before typing your name below. The acknowledgement is that you received the document, not that you read it all.
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Acknowledgement of receipt of Summary Plan Description
Type your name to complete the statement "I (name of plan participant) acknowledge receipt of the One Community Health Welfare Benefit Plan Summary Plan Description."
