RESOURCES

Plan Documents

Access the most up to date documents related to your benefits.

dummy
blank
Medical and Prescription Drugs

Powell Industries Inc Wrap Plan January 1, 2016

Powell Amendment No 2 to Welfare Plan and SPD and SMM (after 1-1-2016 restatement-SIGNED)

Powell Amendment No 1 to Welfare Plan and SPD and SMM (after 1-1-2016 restatement-SIGNED)

Health Plan Amendment and SMM effective September 1st 2016 and November 1st 2016

Health Reimbursement Arrangement Certificate of Coverage

2021 Benefit Plan Booklet – Medical PPO

2021 Benefit Plan Booklet – Medical Premier and Basic CDHP

2021 SBC – Medical PPO

2021 SBC – Medical Basic CDHP

2021 SBC – Medical Premier CDHP

New Hire Benefits Guide, effective August 1st, 2021

Summary of Material Modification (COVID-19 Outbreak Period)

2020 Summary Annual Report to Participants (H&W)

Dental

Guardian Dental Certificate of Coverage

Vision

VSP Vision Plan Certificate of Coverage

2021 VSP Benefits Summary

FSA and HRA

WEX – FSA and COBRA Certificate of Coverage

CARES Act/ARP Summary of Material Modification

CARES Act/ARP Amendment

CARES Act/ARP Resolution

Employee Assistance Program (EAP)

Powell Employee Assistance Program (EAP)

Business Travel Medical and Emergency Services

GeoBlue Certificate of Coverage

Business Travel Accident (BTA)

BTA Certificate Rider, Effective 05/01/2020

BTA Policy Endorsement (1), Effective 05/01/2020

BTA Policy Endorsement (2), Effective 05/01/2020

Life and Accidental Death and Dismemberment

UNUM Group Life and Accidental Death and Dismemberment Plan Certificate of Coverage

UNUM Group Life and AD&D Amendment Effective 2-1-2019

Disability

UNUM Short-Term Disability Certificate of Coverage

UNUM Long-Term Disability Certificate of Coverage

401(k) Plan

401(k) Summary Plan Description Effective January 1, 2021

2020 Summary Annual Report to Participants (401k)

Investment Lineup Changes Effective February 09, 2021

Legal Plan

ARAG Certificate of Coverage