Guides, Plan Summaries & Flyers

Enrollment Guides

• 2022 Benefits Guide

Domestic Partner

• Domestic Partner Policy

Life Events

• Special Enrollment Period Rights

Cobra

• COBRA Continuation Rights Notice

Medical

Choice POS Plan

• 2022 Choice POS Medical Plan - ACA Summary of Benefit Coverage (SBC)
• 2021 Choice POS Medical Plan- Summary Plan Description (SPD)

HSA Advantage Plan

• 2022 HSA Advantage Medical Plan - ACA Summary of Benefit Coverage (SBC)
• 2021 HSA Advantage Medical Plan - Summary Plan Description (SPD)

HSA Value Plan

• 2022 HSA Value Medical Plan - ACA Summary of Benefit Coverage (SBC)
• 2021 HSA Value Medical Plan - Summary Plan Description (SPD)

HSA Max Plan

• 2022 HSA Max Medical Plan -  ACA Summary of Benefit Coverage (SBC)
• 2021 HSA Max Medical Plan - Summary Plan Description (SPD)

Indemnity Plan

• 2022 Indemnity Plan - ACA Summary of Benefit Coverage (SBC)
• 2021 Indemnity Plan- Summary Plan Description (SPD)

MyQHealth Medical Member Resources

• Quantum Overview
• ERISA Plan 518 Wrap Document

Pharmacy

• 2020 Summary Plan Description
• Caremark Participating Retail Pharmacies Listing
• Caremark Specialty Pharmacy Overview
• Caremark Maintenance Choice Program
• Prescription Drug Claim Form (CVS Caremark)
• Prescription Mail Order Form (CVS Caremark)
• Preventive Generics Medication List
• CVS Caremark Formulary
• CVS Caremark Specialty Drug - April 2022

Livongo

• Livongo Program Flyer
• Livongo Program Overview

Healthcare Bluebook

• Get Paid to Save Flyer
• Reward Program Flyer

HSA

• Common HSA FAQs - For Members
• Common HSA FAQs - General
• Eligibility Requirements & Patriot Act Certification
• Find out what a Health Savings Account can do for you
• HSA & Medicare FAQs
• HSA Bank Mobile
• HSA Contribution Calculator
• HSA Eligible Expenses
• HSA Investment Options
• HSA Savings Calculator
• HSA Tax Form Tips
• HSA Tax Time FAQ Reference Guide
• How to transfer or rollover HSA funds
• How to use your HSA

Contact HSA Bank for more information on the account fees and interest schedule

Dental

• Dental Plan Summaries - Advantage & Value (Guardian)
• Dental Summary (BarnesWorx)

Vision

• VSP Advantage Plan Summary
• VSP Value Plan Summary
• VSP Certificate
• VSP TruHearing Hearing Aid Discount Program
• VSP Member Extras

Teladoc

• Benefits of Teladoc Flyer

Wellness

• Health Assessments Flyer
• Health Coaching Programs
• LifeWorks Wellness FAQ
• Barnes Group Total Well-being Program Flyer
• Wellbeing Rewards Tier

Flexible Spending Accounts

• FSA Employee Guide
• FSA App
• FSA Resource Center

Life and Disability Insurance

• Guardian Life Insurance Portability vs. Conversion Tip Sheet
• Dental, Life, and Disability Summary - Salaried, non-executive employees
• Dental, Life, and Disability Summary - Salaried, executive employees
• Dental, Life, and Disability Summary - Hourly, Aerospace and Manner USA employees
• Dental, Life, and Disability Summary - Hourly, Hyson and Associated Spring employees
• Dental, Life, and Disability Summary - Hourly, Synventive, Gammaflux, and IGS employees

Critical Illness Insurance

• Critical Illness Policy and Certificate - $10K Coverage
• Critical Illness Policy and Certificate - $20K Coverage
• Critical Illness Policy and Certificate - $30K Coverage
• Critical Illness Enrollment Kit
• Tobacco Use Certification

Accident Insurance

• Accident Insurance Policy and Certificate - High Option
• Accident Insurance Policy and Certificate - Low Option
• Accident Insurance Enrollment Kit

Hospital Indemnity Insurance

• Hospital Indemnity Policy and Certificate - High Option
• Hospital Indemnity Policy and Certificate - Low Option
• Hospital Indemnity Insurance Enrollment Kit

ID Theft Protection

• Allstate ID Theft Protection Program Overview
• ID Theft Insurance FAQs

MetLife Legal Plan

• MetLife Product Summary
• MetLife Summary Plan Description
• MetLife Legal Plans Overview
• MetLife Legal Plans Website Login Instructions

Farmers Group Home and Auto Insurance

• Group Home and Auto Program Overview

Plan Disclaimers

• Aetna Disclaimer (For Group Hospital Indemnity, Accident Insurance & Critical Illness Insurance)

401(k) Retirement Savings Plan

• RSP SPD and Prospectus
• Fidelity 401(K) Enrollment Guide

Pension Plan

• Consolidated Pension Plan SPD
• Consolidated Pension Plan Restatement (Parts A & B)
• Consolidated Pension Plan Restatement (Parts C, D, E, F, G)

2018 SMMs - Disability Pension

• Summary of Material Modification (2018 Disability  Claims) - CPP Parts C & D
• Summary of Material Modification (2018 Disability Claims) - CPP Part F
• Summary of Material Modification (2018 Disability Claims) - CPP Part G

2020 SMMs - Trustee Changes

• Summary of Material Modification (2020 Trustee Change) - CPP Parts A & B
• Summary of Material Modification (2020 Trustee Change) - CPP Parts C &D
• Summary of Material Modification (2020 Trustee Change) - CPP Part E
• Summary of Material Modification (2020 Trustee Change) - CPP Part F
• Summary of Material Modification (2020 Trustee Change) - CPP Part G

Defined Contribution Plan

• Fidelity 401(K) and Defined Contribution Enrollment Guide

Profit Sharing Plan

• Fidelity 401(K) and Profit Sharing Enrollment Guide

Employee Assistance Program

• Employee Assistance Program Overview

Work/Life and Convenience Program

• Convenience Services

Health Coaching Program Resources

• Diabetes Prevention
• General Wellness
• Sleep Health
• Weight Management