Plan Documents and Legal Notices

Medical Documents

2026 Cigna HDHP Summary of Benefits & Coverage

2026 Cigna HDHP Benefit Summary

Cigna HSA-HDHP Certificate Rider

Cigna HSA-HDHP Evidence of Coverage

Cigna Breast Pump Coverage Flyer

Cigna Medical Claim Form

Cigna Rx Claim Form

Cigna Rx Home Delivery Flyer

myCigna Registration Flyer

Cigna Preventive Care Fact Sheet Flyer

2026 Kaiser HMO Summary of Benefits & Coverage

2026 Kaiser HMO Benefit Summary

Kaiser HMO Evidence of Coverage

Kaiser HMO Chiropractic Evidence of Coverage

Kaiser HMO Emergency Claim Form

Dental Documents

2026 Cigna Dental PPO Summary of Benefits & Coverage

2026 Cigna Dental PPO Benefit Summary

Cigna Dental PPO Certificate

Cigna Dental PPO Certificate (Texas)

Cigna Dental PPO Certificate Rider

Cigna Dental PPO Certificate Rider (Texas)

Cigna Dental PPO Claim Form

Vision Documents

2024 VSP Vision Benefit Summary

VSP Vision Evidence of Coverage

VSP Vision Grievance Process Notice

VSP Vision Out of Network Claim Form

HSA, FSA and Commuter Documents

CIGNA Investment Guide Flyer

CIGNA HSA Overview Flyer

ItsYourChoice HSA Flyer

Income Protection Documents

2026 NY Life Basic Life Benefit Summary (Partners)

2026 NY Life Basic Life Benefit Summary (Staff)

2026 NY Life Basic Life Benefit Summary (Associates)

2026 NY Life Basic AD&D Benefit Summary (Partners)

2026 NY Life Basic AD&D Benefit Summary (Staff)

2026 NY Life Basic AD&D Benefit Summary (Associates)

Unum Long Term Care Schedule of Benefits

NY Life Basic AD&D Certificate (Associates)

NY Life Basic AD&D Certificate (Partners)

NY Life Basic AD&D Certificate (Staff)

NY Life Basic Life Certificate (Associates)

NY Life Basic Life Certificate (Partners)

NY Life Basic Life Certificate (Staff)

UNUM Long Term Disability Certificate of Coverage (All Other Employees)

UNUM Long Term Disability Certificate of Coverage (Partners)

UNUM Short Term Disability & Long Term Disability Benefit Highlights (Associates)

UNUM Short Term Disability & Long Term Disability Benefit Highlights (Staff)

UNUM Short Term Disability Certificate of Coverage

NY Life Basic Life Conversion Form

NY Life Basic Life Portability Form

NY Life Life/AD&D Beneficiary Form

Retirement Documents

401(k) Plan Summary Plan Description (Associates & Of Counsel)

401(k) Profit Sharing Plan Summary Plan Description (Staff & Partners)

Cash Balance Pension Plan Summary Plan Description

Non-Elective Plan Summary Plan Description

Rollover Form (Associates & Of Counsel)

Rollover Form (Staff & Partners)

Pension Plan Beneficiary Designation Form

Mental Health Documents

Spring Health Overview Flyer

Additional Benefit Documents

Care.com Back-Up Care Flyer

Care.com Benefit Summary Flyer

Care.com LifeMart Employee Discounts Flyer

Care.com Membership Flyer

Care.com Mobile App Flyer

Cigna Breast Pump Flyer

Cigna Explanation of Benefits Guide

Cigna Health Advocate Flyer

Cigna Healthy Rewards Flyer

Cigna Telehealth Connection Customer Flyer

Cigna Telehealth Customer FAQ Flyer

NY Life Secure Travel Program Flyer

Compliance Notices

Electronic Consent Notice

HIPAA Notice of Privacy Practices

Medicare D Creditable Coverage Notice

Marketplace Notice

Summary Annual Report

Wrap Summary Plan Description

Unum LTC Outline of Coverage