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Legal & Plan Documents

You’ll find important legal notices and plan documents below. Be sure you carefully review them for more information. Documents for Hawaii employees may be found here.

Important Notice

This website provides information about your Bloomin’ Brands benefit options. It is a summary only and does not fully describe each benefit option. Please refer to the official plan documents, including the Summary Plan Descriptions (SPDs), for complete information about the plans. If there is a difference between this website and the plan documents, the plan documents will govern. Copies of the SPDs and other plan materials are available on this website and by contacting the Resource Center at 1-800-555-5808 Option 3. Bloomin’ Brands reserves the right to amend or terminate, in whole or in part, any or all of the provisions of the plans at any time and for any reason. Participation in Bloomin’ Brands benefit options does not constitute a guarantee of future employment with Bloomin’ Brands.

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.

  • 2023 Choice HRA Plan
  • 2023 Value HRA Plan
  • 2023 Choice HSA Plan
  • 2023 Value HSA Plan
  • 2022 Choice HRA Plan
  • 2022 Value HRA Plan
  • 2022 Choice HSA Plan
  • 2022 Value HSA Plan

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 and was extended on January 15, 2022 and remains in effect until the end of the public health emergency. The following document outlines temporary changes made to the Choice HRA and My Health Savings Plans during the declared public health emergency period.

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:

  • Bloomin’ Brands Wrap SPD
  • Bloomin’ Brands ERISA Employee Benefit Plan Restatement – Pre 2022
  • Bloomin’ Brands Cafeteria Program – 2022
  • HIPAA Hybrid Entity Designation for the Employee Benefit Plan – effective January 2022
  • Pre 2022 – Bloomin’ Brands Wrap SPD
  • Pre 2022 – Bloomin’ Brands SPD
  • 2018 Summary of Material Modifications
  • Wellness Center Summary of Material Modifications – through 12.31.2022

Medical:

  • Preferred Provider Plan of Benefits – Choice HSA Plan – as of June 2022
  • Preferred Provider Plan of Benefits – Value HSA Plan – as of June 2022
  • Preferred Provider Plan of Benefits – Choice HRA Plan – as of June 2022
  • Preferred Provider Plan of Benefits – Value HRA Plan – as of June 2022

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.

  • 2021 Choice HRA Out of Area Plan SPD
  • 2021 Health Savings (HSA) Out of Area Plan SPD

EAP and Wellness:

  • EAP Overview
  • Rally Rewards Overview

Dental and Vision:

  • 2022 Cigna Dental DHMO Patient Charge Schedule
  • 2022 Cigna Dental DHMO Plan Certificate
  • 2022 Cigna Dental DPPO In-Network Area Plan Certificate
  • 2022 Cigna Dental DPPO Out-of-Area Plan Certificate
  • 2022 VSP Vision Certificate of Coverage

Life and AD&D:

  • Life Insurance Certificate of Coverage
  • AD&D Certificate of Coverage
  • Life Insurance ERISA Amendment

New York Paid Family Leave:

  • New York Paid Family Leave Plan Document
  • New York Paid Family Leave Statement of Rights
  • New York Life Insurance Company Name Change Endorsement

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.

2023 Medicare Part D Creditable Coverage Notice

2022 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

No Surprises Act

This notice describes your rights under the No Surprises Act, which provides protections against certain types of surprise medical bills.

No Surprises Act

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.

2021 Employee Benefit Plan Summary Annual Report

2020 Summary Annual Report

2019 Summary Annual Report

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.

  • 2023 Choice HRA Plan
  • 2023 Value HRA Plan
  • 2023 Choice HSA Plan
  • 2023 Value HSA Plan
  • 2022 Choice HRA Plan
  • 2022 Value HRA Plan
  • 2022 Choice HSA Plan
  • 2022 Value HSA Plan

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 and was extended on January 15, 2022 and remains in effect until the end of the public health emergency. The following document outlines temporary changes made to the Choice HRA and My Health Savings Plans during the declared public health emergency period.

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:

  • Bloomin’ Brands Wrap SPD
  • Bloomin’ Brands ERISA Employee Benefit Plan Restatement – Pre 2022
  • Bloomin’ Brands Cafeteria Program – 2022
  • HIPAA Hybrid Entity Designation for the Employee Benefit Plan – effective January 2022
  • Pre 2022 – Bloomin’ Brands Wrap SPD
  • Pre 2022 – Bloomin’ Brands SPD
  • 2018 Summary of Material Modifications
  • Wellness Center Summary of Material Modifications – through 12.31.2022

Medical:

  • Preferred Provider Plan of Benefits – Choice HSA Plan – as of June 2022
  • Preferred Provider Plan of Benefits – Value HSA Plan – as of June 2022
  • Preferred Provider Plan of Benefits – Choice HRA Plan – as of June 2022
  • Preferred Provider Plan of Benefits – Value HRA Plan – as of June 2022

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.

  • 2021 Choice HRA Out of Area Plan SPD
  • 2021 Health Savings (HSA) Out of Area Plan SPD

EAP and Wellness:

  • EAP Overview
  • Rally Rewards Overview

Dental and Vision:

  • 2022 Cigna Dental DHMO Patient Charge Schedule
  • 2022 Cigna Dental DHMO Plan Certificate
  • 2022 Cigna Dental DPPO In-Network Area Plan Certificate
  • 2022 Cigna Dental DPPO Out-of-Area Plan Certificate
  • 2022 VSP Vision Certificate of Coverage

Income Protection:

  • Life Insurance Certificate of Coverage (VP and above)
  • Life Insurance Certificate of Coverage (all other Salaried, Flex Managers, GEDMs, Sous Chefs, MITs, PDDs)
  • Life Insurance ERISA Amendment
  • AD&D Certificate of Coverage (VP and above)
  • AD&D Certificate of Coverage (all other Salaried, Flex Managers, GEDMs, Sous Chefs, MITs, PDDs)
  • New York Life Insurance Company Name Change Endorsement
  • Business Travel Accident

Disability:

  • Salaried Short-Term Disability Coverage Certificate
  • Executive (VP and above) Long-Term Disability Coverage Certificate
  • Salaried Long-Term Disability Coverage Certificate
  • New York Life Insurance Company Name Change Endorsement
  • Short-Term Disability ERISA Amendment
  • Long-Term Disability ERISA Amendment
  • New York Life Summary on How to File Your Disability Claim

New York Paid Family Leave:

  • New York Paid Family Leave Plan Document
  • New York Paid Family Leave Statement of Rights
  • New York Life Insurance Company Name Change Endorsement

Financial and Legal:

  • 401(k) Summary Plan Description
  • MetLife Legal Plans Description
  • EAP Legal Services Flyer

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.

2023 Medicare Part D Creditable Coverage Notice

2022 Medicare Part D Creditable Coverage Notice

2021 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

No Surprises Act

This notice describes your rights under the No Surprises Act, which provides protections against certain types of surprise medical bills.

No Surprises Act

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.

2021 Employee Benefit Plan Summary Annual Report

2020 Employee Benefit Plan Summary Annual Report

2019 Employee Benefit Plan Summary Annual Report

2020 401(k) Plan Summary Annual Report

2019 401(k) Plan Summary Annual Report

Team Member Benefits

Learn more about the benefits available to eligible Team Members. Select the benefits category that matches your position.
Transparency in Coverage

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