Understanding your benefit plans is essential. Please review the following documents and notices.
Plan Summaries, Affidavits, Certificates of Coverage
Accident Insurance
Adoption Assistance
Critical Illness Insurance
Dental
Flexible Spending Account (FSA)
LEAVE OF ABSENCE - DISABILITY (STD, LTD)
2025 / 2026
Sedgwick – Short-Term Disability SPD (Salaried)Sedgwick – Short-Term Disability SPD (Hourly)
New York Life – Long-Term Disability Benefit Summary (Salaried – Class 1)
New York Life – Long-Term Disability SPD (Salaried – Class 1)
New York Life – Long-Term Disability Benefit Summary (Hourly – Class 2)
New York Life – Long-Term Disability SPD (Hourly – Class 2)
LIFE INSURANCE AND AD&D
Medical
2026
UMR – 2026 Blue Plan Benefits SummaryUMR – 2026 Green Plan Benefits Summary
Lennox – 2026 Tobacco Use Affidavit
Lennox – 2026 Working Spouse Affidavit
2025
UMR – 2025 Green Plan Benefits SummaryUMR – 2025 Green Plan SPD
UMR – 2025 Blue Plan Benefits Summary
UMR – 2025 Blue Plan SPD
Lennox – 2025 Tobacco Use Affidavit
Lennox – 2025 Working Spouse Affidavit
Paid Time Off
Prescription Drug (Rx)
2025
Effective January 1, 2025OptumRx – 01.2025 Premium Standard Formulary
OptumRx – 01.2025 Premium Standard Formulary (Preventive Generics)
OptumRx – 01.2025 Premium Standard Formulary (PA Required)
OptumRx – 01.2025 Premium Standard Formulary (Quantity Limits)
OptumRx – 01.2025 Premium Standard Formulary (Step Therapy)
OptumRx – 01.2025 Premium Formulary Exclusion
Effective July 1, 2025
OptumRx – 07.2025 Premium Standard Formulary
OptumRx – 07.2025 Premium Standard Formulary (PA Required)
OptumRx – 07.2025 Premium Standard Formulary (Quantity Limits)
OptumRx – 07.2025 Premium Standard Formulary (Step Therapy)
Tuition Assistance
