GEO Forms & Documents

2019-20 HIPAA Policy 

Click here for information about HIPAA, the law which protects your health information.

2019-20 Summary of Material Modifications 

Click here for a list of changes to our benefits & administrative policies, effective 10/1/18.

2019-20 Summary Plan Description 

Click here for the booklet that serves as both a Summary Plan Description and Plan Document for those employed by the University of

Massachusetts Amherst and participating in the plans provided by UAW/UMass Health & Welfare Trust Fund. The plans administered by the UAW/UMass Health & Welfare Trust Fund are the GEO Unit Health & Welfare Plan (the “GHWP”) and the Post-Doctoral Unit Health & Welfare Plan (the “PHWP”). For a paper copy of the summary plan description, please contact the Benefits Administrator at uawdental (at) external.umass (dot edu) or (413) 345-2156


2019-20 Information about COBRA Rights

Click here for important information about your COBRA Rights.


2019-20 Trust Financial Report

Click here for a summary of the Trust's finances.

2019-20 Benefit Information for Fellowship Recipients


Click here for a information on fellowships.


MetLife Subscriber Certificate

Click here for the certificate of insurance.


MetLife Claim Form


Click here for the form to use when you see an out-of-network provider and need to seek reimbusement.  The form should be submitted to MetLife with your receipt(s).

MetLife Coordination of Benefits Policy


Click here for the document that governs your multiple insurance plans.

EyeMed Subscriber Certificate

Click here for the certificate of insurance.


EyeMed Claim Form


Click here for the form to use  to submit a claim for insurance coverage.

2019-20 UMass Assistantship Guidelines

Click here for a detailed review of the earnings required for student health insurance fee waivers, trust fund benefits and tuition waivers.

MetLife Customer Privacy Notice

Click here for the Customer Privacy Notice.


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