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Benefits Library

Benefits Library

Benefits materials
Notices
Summary of benefits and coverage

  

Benefits materials

Benefit plan rate sheet
Health plan program comparison
Benefits Summary

  

Prescription drug materials

Prescription Drug List (PDL) and updates as of April 1, 2025July 1, 2025, and October 2025
Aetna Health Care Reform Preventive Drug List
Aetna Preventive Drug List 
Aetna mail order brochure 
Aetna specialty pharmacy brochure 
PrudentRx specialty pharmacy brochure
PrudentRx specialty drug list
Aetna flu shot flyer

  

CDHP medical plan materials

HSA employer contributions
Voya HSA investment quick start guide
Voya health account quick start guide

  

EPO medical plan materials

EPO plan FAQs

 

Critical illness, accident, and hospital insurance benefit materials

Voya critical illness plan overview
Voya accident plan overview 
Voya hospital plan overview
Voya wellness benefits overview
Unum Critical illness rate sheets
Unum voluntary critical illness SPD 

  

Same sex spouses, domestic partners, and civil union partners

Domestic partner rate sheet
Domestic partner benefits enrollment guide

  

Hawaii materials

HMSA prescription drug list (generic and preferred brand name drugs) 
HMSA medical booklet for Preferred Provider PPO, CompMed, and Health Plan Hawaii Plus HMO 
HMSA prescription drug booklet for Preferred Provider PPO and CompMed participants and for Health Plan Hawaii Plus HMO participants
HMSA dental booklet for all HMSA participants 
HMSA vision benefit summary for Preferred Provider PPO and CompMed participants and for Health Plan Hawaii Plus HMO participants
Hawaii benefit rate sheet
HMSA flu vaccine flyer

  

Health care price transparency 

Our medical plan providers have provided links to view in-network contract rates and out-of-network historical billed rates for medical items and services. If you have any difficulty accessing the files, please contact your medical plan provider.

Aetna pricing information for covered services
HMSA pricing information for covered services
Nippon pricing information for covered services

 

Other

How to find Aetna network providers for the CDHP medical plans 
Vision plan summary
Wellness program notice of non-discrimination and confidentiality 
College savings plan summary 
Voya Health Account Quickstart Guide

  

Federal Notices

Baby-safe posting
Women's health and cancer rights notice
CHIP special enrollment notice
Family and Medical Leave Act (FMLA) poster
Health Insurance Exhange Notice
HIPAA notice of privacy practices
Job loss
Newborns' and Mothers' Health Protection Act
Annual Medicare Rx disclosure
Uniformed Services Employment and Re-employment Right

 

City and State Notices

Alaska Paid Sick Time 
Arizona Paid Sick Leave (English)
Arizona Paid Sick Leave (Spanish)
California COVID-19 Paid Sick Leave
California Domestic Violence (English)
California Domestic Violence (Spanish)
California Vision Complaint Process
California Voluntary Disability Notice
California Voting Paid Leave
Chicago Paid Sick Leave
Colorado FAMLI Program 
Colorado Paid Leave (English)
Colorado Paid Leave (Spanish)
Connecticut Paid Leave 
Illinois Essential Health Benefit Disclosure 
Maine Paid Family and Medical Leave 
Maryland Sick and Safe Leave
Massachusetts COVID-19 Paid Sick Leave
Massachusetts Paid Family and Medical Leave
Massachusetts Paid Family and Medical Leave Employee Notice
Massachusetts Pregnant Workers Fairness Act
Michigan Earned Sick Time Act
Minneapolis Sick and Safe Time
Minnesota Sick and Safe Time 
Missouri Earned Paid Sick Time 
Nevada domestic violence
New Jersey Earned Sick Leave 
New Jersey Family Insurance
New Jersey SAFE Act
New Mexico Paid Sick Leave 
New York Fringe Benefits 
New York Paid Family Leave 
New York Paid Safe and Sick Leave 
New York Voting Paid Leave
New York Workers' Compensation 
Oakland, California COVID-19 Paid Leave
Oregon Paid Leave 
Oregon Workers' Compensation
Pittsburgh Paid Sick Leave 
Pregnancy disability leave/CFRA leave notice (California only)
South Carolina Employment Discrimination
Seattle Paid Sick and Safe Time Notice and Labor Ordinances 
Washington Paid Family Leave 

 

Summary of benefits and coverage

EPO Plan
Aetna CDHP Basic—HRA 
Aetna CDHP Basic—HSA 
Aetna CDHP Premier—HRA 
Aetna CDHP Premier—HSA 
Aetna CDHP Select—HRA 
Aetna CDHP Select—HSA 
HMSA CompMed 
HMSA Health Plan Hawaii Plus HMO 
HMSA Preferred Provider PPO