Type - Any -FormsOther DocumentsPlan DocumentsSummary of Annual Reports (SAR)Summary of Benefits and Coverage (SBC)Summary of Material Modification (SMM)Summary Plan Description (SPD) Plan - Any -DentalDisabilityFlexible Spending AccountsLife InsuranceMedicalOther Plans and ProgramsVision Provider - Any -AetnaAon HewittCignaCVS CaremarkHMO Blue—MassachusettsKaiser—CaliforniaMatrixMinnesota Life Insurance CompanyOptumOtherUnitedHealthcareVSPZurich Forms Adoption Assistance Reimbursement Form Cigna Global Health Benefits Claim Form Cigna Global Health Benefits-GU Health Payment Form (Australia) Conversion to Secure Protector Whole Life Evidence of Insurability Form Flu Shot Consent Form Flu Shot Consent Form—Mountain View only MBA Claim Form Option to Port Term Life Insurance Coverage Physician Waiver Form Pregnancy Waiver Form UHC Acupuncture & Nutritionist Claim Form VSP Out-of-Network Reimbursement Form Zurich Accident Claim Form Zurich Dismemberment Claim Form Other Documents 2019 Global Holiday Schedule 24 Hour Fitness Rates for employees in California (not Bay Area), Texas, Colorado, Florida, Oregon and Washington 24 Hour Fitness Rates for employees in the San Francisco Bay Area, New York, New Jersey, Maryland, Virginia and Hawaii 401(k) 2019 Plan Change Chart 401(k) Contribution Chart Aetna DMO Dental Plan ARAG Legal Plan Flyer Best Doctors FAQs Business Travelers Accident (BTA) Customer Agreement ID Theft Business Travelers Accident (BTA) Insurance Identity Theft Brochure Business Travelers Accident Secure Travel Wallet Card CHIP Notice 2013 Cigna Choice Fund HSA Creditable Coverage MA Rider Cigna Envoy Registration Guide Cigna Global Health Advantage Benefits at a Glance Cigna Global Health Benefits ID Card Cigna Global Health Benefits Welcome Kit Cigna Global Health Benefits-CignaLinks Australia Cigna Global Health Benefits-CignaLinks Canada Cigna Global Health Benefits-CignaLinks UK Cigna Global Health Benefits–Transition of Care Cigna Global Health Benefits–Understanding your Explanation of Benefits Cigna Managed Network Plan Creditable Coverage MA Rider Cigna Telehealth Crossover Health Fee Schedule Disability Insurance Plan Comparison Chart Domestic Partner Benefit Program Certification of Legal Tax Dependents Affidavit eMindful Course Descriptions Emotional Well-being Comparison Chart Empower Think Twice FY 2019 Annual Enrollment Guide FY 2019 Summary of Medical Benefits Global Phone Numbers Health Care Reform Eligibility HIPAA Privacy Notice Holiday Shopping Calendar How Identity Theft Affects You HSA/FSA Overview HSA: Customer Identification Process (CIP) Overview Insider Trading Policy Insider Trading Policy MyCommuter Mobile App User Guide OCB Participant Guide OPC Charities and Prizes Optum EAP and WorkLife Services Benefit QuitSmart Mindfully Flyer Redpoint Travel Assistance FAQ Retirement Distributions Options SDI/VDI Comparison Chart Stress Less, Live More Flyer Virgin Pulse Activity Tracker Device Form Virgin Pulse U.S. Brochure Weight Balance for Life Flyer Well-being for Life Program Eligible Expenses Well-being for Life Program Eligible Expenses Wellness Program EEOC Notice Plan Documents AD&D Certificate of Insurance AD&D Insurance Policy Aetna Dental Summary of Benefits Aetna PPO Dental Plan Schedule of Benefits Aetna PPO Dental Plan Schedule of Benefits for Nevada residents only Aetna PPO Dental Plan Summary of Benefits Aetna PPO Dental Plan Summary of Benefits for Nevada residents only Cigna International Certificate of Insurance Cigna International Plan Summary (Expatriate) Cigna International Policy Cigna Transition of Care CVS Caremark coverage for Cigna Choice Fund HSA CVS Caremark coverage for Cigna Managed Network Plan CVS Caremark coverage for UHC Network Plan ESPP Prospectus Group Term Life Certificate of Insurance Group Term Life Policy Amendment 6-2016 Group Term Life Policy Amendment 7-2017 HIPAA Amendment to Consolidated Welfare Benefit Plan Life Insurance Benefits and Costs UHC Transition of Care VSP Evidence of Coverage VSP Policy Zurich Travel Assist Summary Summary of Annual Reports (SAR) 401(k) Summary Annual Report Consolidated Welfare Plan Summary Annual Report (SAR)—FY 2017 Summary of Benefits and Coverage (SBC) Cigna Choice Fund HSA Summary of Benefits and Coverage (SBC)—FY 2019 Cigna Managed Network Plan Summary of Benefits and Coverage (SBC)—FY 2019 Kaiser Permanente Chiropractic Summary of Benefits and Coverage (SBC)—FY 2018 Kaiser Permanente Northern California Summary of Benefits and Coverage (SBC)—FY 2019 Kaiser Permanente Southern California Summary of Benefits and Coverage (SBC)—FY 2019 UHC Harvard Pilgrim Summary of Benefits and Coverage (SBC)—FY 2019 UHC Network Plan Summary of Benefits and Coverage (SBC)—FY 2019 Summary of Material Modification (SMM) 401(k) Summary of Material Modification Flexible Benefit Plans 60-Day Enrollment Window Summary of Material Modification (SMM) Flexible Benefit Plans Change of Election Window Summary of Material Modification (SMM) Summary Plan Description (SPD) 401(k) Summary Plan Description Cigna Choice Fund HSA Summary Plan Description (SPD)—FY 2019 Cigna Managed Network Plan Summary Plan Description (SPD)—FY 2019 UHC Network/Harvard Pilgrim Network Summary Plan Description (SPD)—FY 2019 Email this page Printer-friendly version Was this page helpful? * Yes No Tell us more!