Legal & Plan Documents <--Salaried-->

Summaries of Benefits and Coverage

The health benefits available to you represent a significant component of your compensation package. They also provide important protection for you and your family in the case of illness or injury. Benefits-eligible Team Members are offered a choice of medical coverage options. Choosing which option is right for you is an important decision. To help you make an informed choice, the Summaries of Benefits and Coverage (SBCs) summarize important information in a standard format. This helps you compare across options.

Prior to 2022, the following SBCs only apply when you have been identified as living outside of a UnitedHealthcare network area (or the network is not of sufficient size to provide adequate access). This applies to a small group of Team Members.

You can also request a paper copy, or request the SBCs in another language, free of charge, by calling Blue Cross and Blue Shield of Florida at 1-833-578-1132 (a toll-free number). You can also request a paper copy, or request SBCs prior to 2022 in another language, free of charge, by calling 1-800-985-3290 (a toll-free number).

On March 13, 2020, the President declared the outbreak of COVID-19 in the United States constituted a national emergency beginning March 1, 2020. The following document outlines temporary changes made to the Choice HRA and My Health Savings Plans.

COVID-19 Temporary Health Plan Changes

Summary Plan Descriptions

The Summary Plan Descriptions (SPDs) contain important information about each plan’s coverage, limitations, and exclusions. Bloomin’ Brands encourages you to become familiar with the SPDs. You can also request a paper copy of all plan documents, free of charge, by calling the BBI Resource Center at 1-800-555-5808 (Option 3). Summaries of Material Modifications (SMMs) represent updates to the SPDs.

Employee Benefit Plan:

Medical:

The following Summary Plan Descriptions only apply when you have been identified as living outside of a UnitedHealthcare network area (or the network is not of sufficient size to provide adequate access). This applies to a small group of Team Members.

Dental and Vision:

Income Protection:

Disability:

New York Paid Family Leave:

Financial and Legal:

Legal notices

Children’s Health Insurance Program (CHIP)

If you or your children are eligible for Medicaid or CHIP and you are eligible for health coverage from Bloomin’ Brands, your state may have a premium assistance program that can help you pay for coverage.

CHIP Notice

Special Enrollment Rights Notice

Special Enrollment allows you to enroll in the Bloomin’ Brands plan outside of the plan’s regular enrollment dates. Special Enrollments occur when you lose other group health coverage or experience a qualified life event, such as a marriage, birth, adoption, or placement for adoption.

Special Enrollment Rights Notice

Women’s Health and Cancer Rights Act of 1998

If you are enrolled in a medical plan, certain benefits are available for breast reconstruction in connection with a mastectomy.

Women’s Health and Cancer Rights Act Notice

Newborns’ and Mothers’ Health Protection Notice

If you are enrolled in medical coverage, this notice contains important information about hospital coverage following newborn delivery.

Newborns’ and Mothers’ Health Protection Notice

Medicare Part D Prescription Drug Notice

If you (and/or your dependents) have Medicare or will become eligible for Medicare in the next 12 months, a federal law gives you more choices about your prescription drug coverage.

Medicare Part D Creditable Coverage Notice

COBRA Rights Notice

This notice explains COBRA continuation coverage, when it may become available to you and your family, and what you need to do to protect your right to get it.

COBRA Rights Notice

HIPAA Privacy Notice

The HIPAA Privacy Notice describes the plan’s practices for using and disclosing protected health information (PHI).

HIPAA Notice

Summary Annual Reports

The Summary Annual report (SAR) is a narrative summary of the plan’s financial status and summarizes the information on the plan’s annual report.

2020 Employee Benefit Plan Summary Annual Report

2019 Employee Benefit Plan Summary Annual Report

2019 401(k) Plan Summary Annual Report