Plan Documents

Plan Documents

Updated 06.22.2020

Mister Car Wash Plan Documents

Summary Plan Description 7.1.2019

Medical Plan Documents

MCW Medical SPD eff 7.1.19

Summary of Premium Only Plan 7.1.19

Summary of Material Modification to Plan COVID 19 6.1.2020

2020 Medical Summary of Benefits and Coverage (SBC)

2020 HDHP with HSA SBC

2020 PPO SBC

2019 Medical Summary of Benefits and Coverage (SBC)

2019 HDHP with HSA SBC

  2019 PPO SBC

Dental Plan Documents

Delta Dental Low Plan SOB eff 07 01 18

Delta Dental High Plan SOB eff 07 01 18

2020 Dental Plan Option Summary

2020 Delta Dental Low Plan

2020 Delta Dental High Plan

Vision Plan Documents

EyeMed Vision Summary of Benefits

401k Plan Documents

Mister Car Wash 401k SPD

Life & Disability Plan Documents

Life Insurance Summary 7.01.2019

Disability Summary 07.01.2019

Required Notices

Mister Car Wash Exchange Notice 2019

HIPAA Medical Privacy Policy

Qualified Medical Child Support Order and National Medical Support Notice Admin Procedures

 

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