Plan Documents and Legal Notices

Medical Documents

2025–26 Anthem Blue Cross and Blue Shield OAP $0 High II Summary of Benefits

2025–26 Anthem Blue Cross and Blue Shield OAP $500 High Summary of Benefits

2025–26 Anthem Blue Cross and Blue Shield OAP $1,500 Mid Summary of Benefits

2025–26 Anthem Blue Cross and Blue Shield OAP $2,500 Summary of Benefits

Anthem Continuation of Care Form

Dental Documents

2025 Anthem Dental PPO Benefit Summary

Vision Documents

2025 Anthem Vision Plan Benefit Summary

FSA Documents

Year Carrier Plan Type Document Type

Income Protection Documents

2024 New York Life Basic Term Life Insurance Benefit Summary (Class 1)

2024 New York Life Basic AD&D Insurance Benefit Summary (Class 1)

2024 New York Life Voluntary Term Life and AD&D Insurance Benefit Summary (Class 1)

2024 New York Life Evidence of Insurability Form

2024 New York Life Short-Term Disability Insurance Benefit Summary (Class 1)

2024 New York Life Long-Term Disability Insurance Benefit Summary (Class 1)

Supplemental Medical Documents

2025 Aflac Accident Insurance Benefit Summary

2025 Aflac Critical Illness Insurance Benefit Summary

2025 Aflac Hospital Indemnity Insurance Benefit Summary

Mental Health Documents

Year Carrier Plan Type Document Type

Additional Benefit Documents

2025 Nationwide Pet Insurance Benefit Summary

Compliance Notices

Annual Notices 2025-2026

Womens Health and Cancer Rights Notice

Newborns and Mothers Health Protection Act Notice

Medicare Part D Notice

Health Notice of Special Enrollment Rights