Below are Benefit Plan Documents for each coverage type
Click on the up/down arrows to see the document list, then click on a document to open and view or download the file.
NOTE: These documents are also available on each of the coverage pages, along with other helpful information and handy tools.
Enrollment
| Filename |
|---|
| Documents |
| adding Carrier instructions.pdf |
Medical
| Filename |
|---|
| Cigna Omada Care |
| Cigna - Omada Care.pdf |
Dental
Vision
Group Life
Employee Assistance Program (EAP)
| Filename |
|---|
| 2023 Cigna EAP (Employee Assistance Program) - English |
| Cigna Employee Assistance Program (EAP) Member Flyer.pdf |
| 2023 Cigna EAP (Employee Assistance Program) - Spanish |
| Cigna Employee Assistance Program (EAP) Member Flyer - Spanish.PDF |
| 2023 UNUM EAP (Employee Assistance Program) - English |
| UNUM Employee Assistance Program (EAP) Member Flyer.pdf |
| 2023 UNUM EAP (Employee Assistance Program) - Spanish |
| UNUM Employee Assistance Program (EAP) Member Flyer - Spanish.pdf |
| 2024 Cigna EAP (Employee Assistance Program - English |
| Cigna Employee Assistance Program (EAP) Flyer.pdf |
| 2024 Cigna EAP (Employee Assistance Program - Spanish |
| Cigna Employee Assistance Program (EAP) Flyer - Spanish.pdf |
| 2024 UNUM EAP (Employee Assistance Program - English |
| UNUM Employee Assistance Program (EAP) Member Flyer.pdf |
| 2024 UNUM EAP (Employee Assistance Program - Spanish |
| UNUM Employee Assistance Program (EAP) Member Flyer - Spanish.pdf |
FSA
| Filename |
|---|
| 2023 WEX Flex Plan (FSA and DCA) - English |
| WEX Benefits Debit Card Flyer.pdf |
| WEX Benefits Technology & Resources Flyer.pdf |
| WEX Dependent Care FSA Flyer.pdf |
| WEX HealthCare FSA Flyer.pdf |
| WEX Mobile App Flyer.pdf |
| 2023 WEX Flex Plan (FSA and DCA) - Spanish |
| WEX Benefits Technology & Resources Flyer - Spanish.pdf |
| WEX Dependent Care FSA Flyer - Spanish.pdf |
| WEX HealthCare FSA Flyer - Spanish.pdf |
| WEX Mobile App Flyer Spanish.pdf |
| 2024 WEX Flex Plan (FSA and DCA) - English |
| WEX Benefits Mobile App Flyer.pdf |
| WEX Dependent Care FSA Contribution Limits Flyer.pdf |
| WEX Dependent Care FSA Flyer.pdf |
| WEX Medical FSA Flyer.pdf |
| 2024 WEX Flex Plan (FSA and DCA) - Spanish |
| WEX Dependent Care FSA Contribution Limits Flyer - Spanish.pdf |
| WEX Dependent Care FSA Flyer- Spanish.pdf |
| WEX Medical FSA Flyer - Spanish.pdf |
HRA
| Filename |
|---|
| 2023 Cigna HRA - English |
| Cigna Health Reimbursement Account (HRA) Member Flyer.pdf |
| 2023 Cigna HRA - Spanish |
| Cigna Health Reimbursement Account (HRA) Member Flyer - Spanish.pdf |
| 2024 Cigna HRA - English |
| Cigna Health Reimbursement Account (HRA) Member Flyer.pdf |
| 2024 Cigna HRA - Spanish |
| Cigna Health Reimbursement Account (HRA) Member Flyer.pdf |
Retirement
| Filename |
|---|
| Annual Notices |
| 404c Erisa Notice.pdf |
| 2017 401k SAR.pdf |
| 2019 Deferral Limits.pdf |
| ERISA 404 Participant Fee Disclosure 2020.pdf |
| ERISA Privacy Notice.pdf |
| Fee Change Notice.pdf |
| Notice of Fee Change 2020.pdf |
| Notice of Investment Change 2020.pdf |
| Plan Limits for 2020.pdf |
| Principal Privacy Notice 2020.pdf |
| QDIA Notice.pdf |
| Qualified Default Investment Alternative (QDIA) Notice 2020.pdf |
| SMM Notice.pdf |
| Summary Annual Report (SAR) 2020.pdf |
| Summary of Material Modifications (SMM) 2020.pdf |
| Documents |
| There are no files to list. |
| Participant Newsletters |
| 2019 4th Quarter Participant Newsletter.pdf |
| Plan Documents |
| Quick Enrollment Form.pdf |
| SMM eff 1.1.2016.pdf |
| SPD eff 5.1.2015.pdf |
| Retirement Plan Documents |
| There are no files to list. |
Pet Insurance
| Filename |
|---|
| Documents |
| adding Carrier instructions.pdf |
