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Plan documents and forms

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  2. Plan documents and forms

Benefits Overview

2025 U.S. Benefits Guide
Benefits Overview Video

Legal Notices

Form 1095
Health Insurance Marketplace Exchange Notice
HIPAA Privacy Notice
HIPAA Special Enrollment Notice
Medicaid and the Children’s Health Insurance Program (CHIP)
Medicare Part D Creditable Coverage Notice
Newborns’ and Mothers’ Health Protection Act
Women’s Health and Cancer Rights Act
Your Rights and Protections Against Surprise Medical Bills

401(k) Plan

Return of Excess Form
Synopsys 401(k) Summary of Material Modifications (SMM) for SECURE 2.0 Phase 1
Synopsys 401(k) Summary of Material Modifications (SMM), February 2025
Synopsys 401(k) Summary Plan Description

Health – Kaiser

Evidence of Coverage

Evidence of Coverage Chiropractic Services Kaiser Northern California 2024
Evidence of Coverage Chiropractic Services Kaiser Southern California 2024
Evidence of Coverage Kaiser Northern California 2024
Evidence of Coverage Kaiser Oregon 2024
Evidence of Coverage Kaiser Southern California 2024

Summaries of Benefits and Coverage

Summary of Benefits and Coverage for Kaiser Northern California 2025
Summary of Benefits and Coverage for Kaiser Oregon 2025
Summary of Benefits and Coverage for Kaiser Southern California 2025

Health – UHC

Summaries of Benefits and Coverage

Summary of Benefits and Coverage for Health Savings (HS) Basic Plan 2025
Summary of Benefits and Coverage for Health Savings (HS) Premium Plan 2025
Summary of Benefits and Coverage for Synopsys Out of Area Plan 2025

Summary Plan Descriptions

Summary Plan Description for Health Savings (HS) Basic, Standard, and Premium Plans 2024
Summary Plan Description for Health Savings (HS) Basic, Standard, and Premium Plans 2024 – California Select
Summary Plan Description for Out of Area Medical Plan 2024

Dental

Delta Dental PPO Plan Highlights 2025

Vision

VSP Benefit Summary 2025

Life and AD&D Insurance

Group Life Insurance Policy
Lincoln National Life Insurance Company Merger/Name Change Notice

Disability

California Voluntary Disability and Paid Family Leave Benefit Plan Document 2025
California Voluntary Disability and Paid Family Leave Benefit Statement of Coverage 2025
Long-Term Disability Policy
Short-Term Disability Benefit Plan Decline Coverage Acknowledgement Form
Short-Term Disability Plan Document 2025
Short-Term Disability Plan Summary Plan Description 2025

Other Plan Documents, Policies, and Notices

Accident Insurance Certificate of Coverage Option A
Accident Insurance Certificate of Coverage Option B
Critical Illness Insurance Certificate of Coverage
Hospital Indemnity Insurance Certificate of Coverage
Lyra Employee Assistance Program Summary Plan Description 2023
MetLaw Summary Plan Description
Plan Document and Summary Plan Description for Bridge to Medicare Plan
Plan Summary for Pre-Tax Deductions (HSA and FSAs)
Synopsys, Inc. Welfare Plan Summary Plan Description
  • Enrollment
    • New to Synopsys?
    • Eligibility
    • Enrolling and Making Changes
    • Life Events
      • Having or Adopting a Baby
      • Getting Married
      • Spouse or Domestic Partner Losing Their Employer Benefits
      • Leaving Synopsys
      • Getting Divorced
      • Planning for Retirement
      • Rehired by Synopsys
      • Becoming Medicare-Eligible
      • End-of-Life Planning
      • In the Event of a Death
    • Interns
  • Health & Wellness
    • Medical
    • Prescription Drugs
    • Dental
    • Vision
    • Health Savings Account (HSA)
    • Flexible Spending Accounts (FSAs)
    • Costs for Coverage
    • Health & Wellness Support
  • Wellbeing & Family
    • Wellbeing Rewards
    • Emotional Wellbeing
    • Family Support
  • Financial
    • Synopsys 401(k) Plan
    • Employee Stock Purchase Plan (ESPP)
    • Financial Wellbeing Tips
    • Life and AD&D Insurance
    • Supplemental Health Insurance
    • Voluntary Long-Term Care Insurance
    • Employee Discounts
  • Time Away
    • Holidays
    • Time Off
    • Leaves of Absence
    • Workers’ Compensation
  • Work-Life Support
    • Travel Support
    • Educational Assistance
    • Commuter Benefits
    • Legal Services
    • Auto, Home, and Pet Insurance
    • Community
  • Resources
    • Events Calendar
    • Contacts
    • Mobile Apps
    • ID and Debit Cards
    • Plan Documents and Legal Notices

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