Plan documents and forms

If you need help understanding your health benefits or interpreting the documents on this page, contact Health Advocate.

For help with other Lam benefits, contact the Benefits Help Desk at 877-291-9494 or benefits@lamresearch.com.

Benefits

Benefits Information Guide—Summary Plan Description [PDF]
Benefits Overview—Employee [PDF]
Benefits Overview—Intern [PDF]

Anthem medical plans

Anthem Preventive Care Guidelines [PDF]

Base PPO

Anthem Base PPO Benefit Summary 2023 [PDF]
Anthem Base PPO Silfex Summary Plan Description [PDF]
Anthem Base PPO Summary of Benefits Coverage 2023 [PDF]
Anthem Base PPO Summary Plan Description 2023 [PDF]

CDHP with HSA

Anthem CDHP Silfex Summary Plan Description [PDF]
Anthem CDHP With HSA Benefit Summary 2023 [PDF]
Anthem CDHP With HSA Summary of Benefits Coverage 2023 [PDF]
Anthem CDHP With HSA Summary Plan Description 2023 [PDF]

Prescription coverage

CVS Caremark Preventive Drug List 2023 [PDF]
CVS Caremark RX Base PPO Summary Plan Description 2020 [PDF]
CVS Caremark RX CDHP Summary Plan Description 2020 [PDF]

Kaiser medical plans

California

Kaiser CDHP With HSA Northern California Benefit Summary 2023 [PDF]
Kaiser CDHP with HSA Northern California Chiropractic Evidence of Coverage 2022 [PDF]
Kaiser CDHP with HSA Northern California Evidence of Coverage 2022 [PDF]
Kaiser CDHP with HSA Northern California Summary of Benefits Coverage 2023 [PDF]
Kaiser HMO Northern California Benefit Summary 2023 [PDF]
Kaiser HMO Northern California Chiropractic Evidence of Coverage 2022 [PDF]
Kaiser HMO Northern California Evidence of Coverage 2022 [PDF]
Kaiser HMO Northern California Summary of Benefits Coverage 2023 [PDF]

Oregon and Washington

Kaiser CDHP with HSA Oregon and Washington Benefit Summary 2023 [PDF]
Kaiser CDHP with HSA Oregon and Washington Summary of Benefits Coverage 2023 [PDF]
Kaiser HMO Oregon and Washington Benefit Summary 2023 [PDF]
Kaiser HMO Oregon and Washington Summary of Benefits Coverage 2023 [PDF]

Dental

Delta Dental Enhanced Plan Benefit Summary 2023 [PDF]
Delta Dental Enhanced Plan Evidence of Coverage (EOC) 2022 [PDF]
Delta Dental Premium Plan Benefit Summary 2023 [PDF]
Delta Dental Premium Plan Evidence of Coverage (EOC) 2022 [PDF]
Delta Dental Preventive Plan Benefit Summary 2023 [PDF]
Delta Dental Preventive Plan Evidence of Coverage (EOC) 2022 [PDF]

Vision

VSP Base Plan Benefit Summary 2023 [PDF]
VSP Enhanced Plan Benefit Summary 2024 [PDF]

Life insurance and voluntary supplemental insurance

Accident insurance

MetLife Accident Certificate of Insurance 2022 [PDF]
MetLife Accident Insurance Benefit Summary 2023 [PDF]
MetLife Accident Insurance Overview 2023 [PDF]
MetLife Accident Insurance Policy 2022 [PDF]

Critical illness insurance

MetLife Critical Illness Certificate of Insurance 2022 [PDF]
MetLife Critical Illness Insurance Benefit Summary 2023 [PDF]
MetLife Critical Illness Insurance Outline of Coverage [PDF]
MetLife Critical Illness Insurance Overview 2023 [PDF]
MetLife Critical Illness Insurance Policy 2022 [PDF]

Hospital indemnity insurance

MetLife Hospital Indemnity Certificate of Insurance 2022 [PDF]
MetLife Hospital Indemnity Insurance Benefit Summary 2023 [PDF]
MetLife Hospital Indemnity Insurance Overview 2023 [PDF]
MetLife Hospital Indemnity Insurance Policy 2022 [PDF]

Life insurance

Standard Life Insurance Summary Plan Description - Lam [PDF]
Standard Life Insurance Summary Plan Description - Silfex [PDF]

Disability coverage

California VDI Employee Memo 2023 [PDF]
California VDI Statement of Coverage 2023 [PDF]
California VDI Summary Plan Description 2023 [PDF]
Lam Long-Term Disability Insurance Certificate [PDF]
Short-Term Disability Employee Memo 2023 [PDF]
Short-Term Disability Plan Summary Annual Report (Lam) [PDF]
Short-Term Disability Statement of Coverage 2023 [PDF]
Short-Term Disability Summary Plan Description 2023 [PDF]
Silfex Long-Term Disability Insurance Certificate [PDF]

Retirement

401(k) Summary Plan Description [PDF]
Lam Research 401(k) Guide [PDF]

Policies, practices, and forms

Adoption Reimbursement Form [PDF]
Anthem Travel Claim Form [PDF]
Leave of Absence and Accommodation Practice [PDF]
Time Off Practice [PDF]

State supplements

Arizona State Supplement [PDF]
California State Supplement [PDF]
Idaho State Supplement [PDF]
New York State Supplement [PDF]
Oregon Paid Family and Medical Leave (PFML) Guide [PDF]
Oregon State Supplement [PDF]
Texas State Supplement [PDF]

Required notices

2023 Required Notices [PDF]
401(k) 2022 Summary Annual Report [PDF]
Cafeteria Plan Document [PDF]
Children’s Health Insurance Program (CHIP) Notice [PDF]
ESPP Prospectus [PDF]
Family and Medical Leave Act (FMLA) Notice [PDF]
Group Welfare Benefit Plan Document [PDF]
Health and Welfare Plans Summary Annual Report [PDF]
Health Insurance Marketplace Notice [PDF]
HIPAA Privacy Notice [PDF]