Legal Notices

Open Enrollment for 2027 Benefits

Open Enrollment Newsletter (see Telemedicine update)

Open Enrollment Brochure

Benefit Brochures for 2026 Benefits

New Hire Orientation Welcome Brochure

2026 Benefits Brochure

Required Notices

2027 Annual Notices

2027 Creditable Coverage Medicare Notice for the PPO and HDHP

2026 Creditable Coverage Medicare Notice for the PPO and HDHP

Notice of Privacy for PEHP

Summary Plan Descriptions (SPDs) and Plan Documents

2026 Medical Plan SPD for Open Access Plus Medical Benefits (PPO)

2026 Medical Plan SPD for the Qualified High Deductible Health Plan (HDHP)

Dental Plan Document

Vision Plan Policy

Vision — Additional State-Specific Information

Flexible Spending Accounts (Health Care and Dependent Care) SPD

Flexible Spending Accounts (Health Care and Dependent Care) Document

Disability Plan Document

Hospital Indemnity Insurance Policy 

Accident Insurance Policy

Critical Illness Insurance Policy

Legal Expense Agreement/Policy

Certificates of Insurance

Life Insurance Certificate of Insurance

Life Insurance Certificate of Insurance (Amendment #11)

AD&D Certificate of Insurance

AD&D Certificate of Insurance (Amendment #9)

Vision Certificate of Coverage

Accident Plan 1 Certificate

Accident Plan 2 Certificate

Critical Illness Plan 1 Certificate

Critical Illness Plan 2 Certificate

Hospital Indemnity Plan 1 Certificate

Hospital Indemnity Plan 2 Certificate

Legal Certificate of Coverage

Retirement Notices and Communication

Supplemental Savings Plan 2026 Enrollment Guide (for Employees Hired After Dec. 12, 2023)

Supplemental Savings Plan 2026 Overview (for Employees Hired on or Before Dec. 12, 2023)

Supplemental Savings Plan Notice: IRS Annual Saving Limits for 2026

Supplemental Savings Plan Notices: EACA and QDIA (also applies to the Mandatory Savings Plan)

Supplemental Savings Plan and Mandatory Savings Plan SPD

Retirement Income Plan SPD for Full-Time Employees Hired on or Before Dec. 12, 2023

Overview and Frequently Asked Questions About the Retirement and Savings Benefit Changes for 2024

Retirement Offboarding Review

Other Forms and Documents

2027 PPO Summary of Benefits and Coverage (SBC)

2027 HDHP Summary of Benefits and Coverage (SBC)

2027 PPO Benefit Summary for the Open Access Plus (OAP) Plan

2027 HDHP Benefit Summary for the HDHP Open Access Plus (OAP) Plan

2026 PPO Summary of Benefits and Coverage (SBC)

2026 HDHP Summary of Benefits and Coverage (SBC)

2026 PPO Benefit Summary for the Open Access Plus (OAP) Plan

2026 HDHP Benefit Summary for the HDHP Open Access Plus (OAP) Plan

HIPAA Amendment

Ambulatory (Outpatient) Pharmacies

Flexible Spending Account Claim Form

MetLife Critical Illness Insurance Plan Summary

MetLife Accident Insurance Plan Summary

MetLife Hospital Indemnity Insurance Plan Summary

Prescription Drug Claim Form for OTC COVID-19 Home Tests

2027 COBRA Rates

2026 COBRA Rates

Financial Hardship Relief Program

EEOC Notice – Know Your Rights: Workplace Discrimination Is Illegal (English/Spanish)