Plan documents and forms

Benefits

2023 Benefits Summary
Health and Welfare Benefits Summary Plan Document

Notices

401(k) Safe Harbor Notice
401(k) Summary Annual Report
Health and Welfare Summary Annual Report
Health Insurance Portability and Accountability Act (HIPAA) Privacy Notice
Women's Health and Cancer Rights Act (WHCRA) Notice

Health—Accolade Care Support

Accolade Healthcare Experience
Activation Guide
Autism Support
Gender Affirming Care Guide
Inclusive Care
Virtual Care

Health—Medical

2023 Meritain CDHP Plan SPD
2023 Meritain CDHP with HSA SBC
2023 Meritain Copay Plan SBC
2023 Meritain Copay Plan SPD
2023 Meritain Copay Plan with HRA SBC
2023 Meritain Health Medical Plan Comparison Chart
Cigna Benefits at a Glance
Cigna Welcome Guide
CVS Claim Form
CVS Pharmacy 300 Benefit Summary
CVS Pharmacy CDHP Benefit Summary
HMSA Enrollment Form
HMSA Summary of Benefits Coverage
Transition of care

Health—HMO Medical

Kaiser Chiropractic Services
Kaiser HMO of Northern California 2022 Benefit Summary
Kaiser HMO of Southern California 2022 Benefit Summary
Kaiser Permanente: Video Visits
Kaiser Permanente: Your Care, Your Way
Kaiser Video Visit Instructions

Health—Dental

Delta Dental benefits summary
Delta Dental Core Plan
Delta Dental Enhanced Plan

Health—Vision

VSP Benefits Summary
VSP Out-of-Network Reimbursement Form
VSP SPD

Emotional well-being

EAP Arbor (NE)
EAP Optum
Optum Counseling Concierge Services
Optum Telemental Health FAQ
Optum Virtual Visits

Financial security – Life insurance and AD&D

Basic Accidental Death & Dismemberment Benefits Summary
Basic and Optional Life Benefits Summary
Prudential Term Life Policy
Supplemental Accidental Death and Dismemberment Summary

Financial security – Retirement

2023 401(k) Guide
401(k) Payroll Cut-off Dates 2023
401(k) Plan Summary
401(k) Rollover Form
Information for non-resident Visa holders
Schwab Pre-Retirement Playbook

Financial security – Voluntary Benefits

Aflac Group Accident Insurance
Aflac Group Critical Illness
Aflac Group Hospital Indemnity

Financial security – Other financial documents

FSA SPD
HRA Plan SPD
Hyatt Legal Plans
Optum's Core ID Identity Theft Protection

Time away – Disability

2022 PayPal CVP EE Notice
2022 PayPal CVP Plan
2023 PayPal CVP Plan Document
2023 PayPal CVP Plan Updates
2023 PayPal CVP Supplement to Plan Amendment
Prudential Long-Term Disability Summary

Family support

Child and Elder Care Resources (Bright Horizons)
Family Support Benefits (Bright Horizons)
Family Support Registration Guide (Bright Horizons)