Legal Notices

Benefit Brochures

2024 Benefits Brochure

2024 New Hire Orientation Welcome Brochure

Required Notices

2024 Annual Notices

2024 Creditable Coverage Medicare Notice for the PPO and HDHP

Notice of Privacy for PEHP

Summary Plan Descriptions (SPDs) and Plan Documents

Dental Plan Document

Vision Plan Policy

Vision — Additional State-Specific Information

Life Insurance Policy (R6)

AD&D Insurance Policy

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

AD&D Certificate of Insurance

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 2024 Enrollment Guide (for Employees Hired After Dec. 12, 2023)

Supplemental Savings Plan Notice: IRS Annual Saving Limits

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

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

Retirement Offboarding Review

Other Forms and Documents

2024 PPO Summary of Benefits and Coverage (SBC)

2024 HDHP Summary of Benefits and Coverage (SBC)

2024 PPO Benefit Summary for the Open Access Plus (OAP) Plan

2024 HDHP Benefit Summary for the HDHP Open Access Plus (OAP) Plan

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

Backup Childcare Opportunities – Annie’s Place Childcare Center

Prescription Drug Claim Form for OTC COVID-19 Home Tests

Public Loan Forgiveness Updates Through Oct. 31, 2022

COBRA Rates

Financial Hardship Relief Program

Adoption Assistance Policy

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