Plan Documents & Notices

Notices and Legal Documents
2024 Childrens Health Insurance Program (CHIP)
2024 Health Plan Annual Notices
2024 Notice of Marketplace Coverage

Summary Annual Report
Summary Annual Report

Medical
Cigna Traditional PPO SBC
Cigna Traditional PPO Benefit Summary

Cigna HDHP SBC
Cigna HDHP Benefit Summary

Kaiser HMO (S. CA Only) SBC
Kaiser HMO (S. CA Only) Benefit Summary

Dental
Cigna Dental Benefit Summary

Vision
VSP Vision Benefit Summary

Flexible Spending Accounts (FSA)

Employee Assistance Program (EAP)
Cigna EAP Benefit Summary

Life & Disability

Short Term Disability 1,2
Full-Time Employees
with less than one year of service		 Full-Time Employees
with one or more years of service
Minimum of 30 hours per week in the United States,
who are citizens or permanent resident aliens of the United States.
Short Term Disability Benefit Summary Class -
Less than 1 year
Short Term Disability Benefit Summary Class -
More than 1 year

Long Term Disability 1,2
All Active, Full-Time Employees
Minimum of 30 hours per week in the United States, who are citizens or permanent resident aliens of the United States, including Canadian citizens living and working in the United States.
Long Term Disability Benefit Summary Class 1
Life Insurance and AD&D 1,2
All Active, Full-Time Employees
Minimum of 30 hours per week in the United States, who are citizens or permanent resident aliens of the United States, including Canadian citizens living and working in the United States.
Employer Paid
Employer Paid Life Insurance Benefit Summary Class 1
Employer Paid AD&D Benefit Summary Class 1
Employee Paid
Employee Paid Life Insurance Benefit Summary Class 1
Employee Paid AD&D Benefit Summary Class 1
1 If you are a non-US citizen working in the US on a temporary work visa or if you are a US citizen/permanent resident alien working outside the US on a temporary assignment, please contact Human Resources regarding your benefits.
2 Employees classified as Temporary, Seasonal, or Pipeline Employees are not eligible for this benefit.