Benefits Information Portal

Documents

Use the library below to search, filter, and download important PDFs and files related to your benefits.

Results:

(177)

01-2025 CVS Caremark Performance Drug List

Prescription Benefits

PDF | 257.04 KB | Updated 6 months ago

01-2025 CVS Caremark Standard Control Formulary Drug List

Prescription Benefits

PDF | 136.46 KB | Updated 6 months ago

04-2025 CVS Caremark Advanced Control Specialty Formulary Drug List

Prescription Benefits

PDF | 137.47 KB | Updated 4 months ago

2023 Summary Annual Report – Employee Benefits Plan 515

Health and Wellness Benefits...

PDF | 11.03 KB | Updated 8 months ago

2023 Summary Annual Report – Long Term Disability Plan 551

Long Term Disability

PDF | 20.99 KB | Updated 8 months ago

2023 Summary Annual Report – Master Plan 516

Health and Wellness Benefits...

PDF | 18.42 KB | Updated 8 months ago

2023 Summary Annual Report – Salary Deferral Plan 004

Retirement 401k

PDF | 86.64 KB | Updated 8 months ago

2023 Summary Annual Report – Short Term Disability Plan 517

Short Term Disability

PDF | 20.88 KB | Updated 8 months ago

2024 Canada Rate Sheet

Canadian Dental

PDF | 155.63 KB | Updated 5 months ago

2024 HMSA Rate Sheet

HMSA Medical

PDF | 115.69 KB | Updated 8 months ago

2025 Advantage HSA Family Plan Summary of Benefits & Coverage

Medical Plans

The Summary of Benefits and Coverage (SBC): The SBC shows you how you and the plan would share the cost for covered health care services. NOTE: Information about the cost of this plan (called the premium) will be provided separately. This is only a summary.

PDF | 595.24 KB | Updated 5 months ago

2025 Advantage HSA Individual Summary of Benefits & Coverage

Medical Plans

The Summary of Benefits and Coverage (SBC): The SBC shows you how you and the plan would share the cost for covered health care services. NOTE: Information about the cost of this plan (called the premium) will be provided separately. This is only a summary.

PDF | 597.18 KB | Updated 5 months ago

2025 BCBST Summary Plan Description – San Francisco

Medical Plans

PDF | 1.53 MB | Updated 3 months ago

2025 BCBST Summary Plan Description (SPD)

Medical Plans

PDF | 1.62 MB | Updated 3 months ago

2025 Children’s Health Insurance Program (CHIP) Notice

Health and Wellness Benefits...

PDF | 217.69 KB | Updated 6 months ago

2025 Essential PPO Plan Summary of Benefits and Coverage

Medical Plans

The Summary of Benefits and Coverage (SBC): The SBC shows you how you and the plan would share the cost for covered health care services. NOTE: Information about the cost of this plan (called the premium) will be provided separately. This is only a summary

PDF | 629.15 KB | Updated 5 months ago

2025 Flexible Spending Accounts (FSA) Summary Plan Description (SPD)

Flexible Spending Accounts FSA

PDF | 681.40 KB | Updated 6 months ago

2025 Genetic Information Nondiscrimination Act (GINA) Notice

Health and Wellness Benefits...

PDF | 552.06 KB | Updated 6 months ago

2025 Health Insurance Marketplace Notice

Health and Wellness Benefits...

PDF | 254.32 KB | Updated 6 months ago

2025 Health Insurance Portability and Accountability Act (HIPAA) Special Enrollment Notice

Health and Wellness Benefits...

PDF | 92.27 KB | Updated 6 months ago

2025 Intent to Retire Form

Retiree Benefits

PDF | 59.34 KB | Updated 5 months ago

2025 Medical Plan Comparison (US)

Medical Plans

PDF | 278.00 KB | Updated 8 months ago

2025 Medical, Dental, & Vision Rates (US)

Dental, Medical Plans, Vision...

PDF | 349.27 KB | Updated 2 months ago

2025 Medicare Part D Creditable Coverage Notice (English)

Prescription Benefits, Retiree Benefits

PDF | 138.05 KB | Updated 2 months ago