Plan Documents and Legal Notices

Plan Information

Plan Name: XXXX

Policy Number: #XXXX

Effective Date: XX/XX/XXXX

Network: XXXX

Plan Information

Plan Name: XXXX

Policy Number: #XXXX

Effective Date: XX/XX/XXXX

Network: XXXX

Retirement Documents

Year Carrier Plan Type Document Type

Mental Health Documents

Mutual of Omaha Employee Assistance Program Overview Flyer

Additional Benefit & Policy Documents

Affidavit of Domestic Partnership

Employee Referral Program

Compliance Notices

Compliance Notices

Beneficiary Documents

Year Carrier Plan Type Document Type

Plan Information

Plan Name: XXXX

Policy Number: #XXXX

Effective Date: XX/XX/XXXX

Network: XXXX

Medical Documents

2025 Cigna OAPIN High Benefit Summary (Option 1)

2025 Cigna OAPIN High Summary of Benefits & Coverage (Option 1)

Cigna OAPIN High Summary Plan Description (Option 1)

2025 Cigna OAPIN Low Benefit Summary (Option 2)

2025 Cigna OAPIN Low Summary of Benefits & Coverage (Option 2)

Cigna OAPIN Low Summary Plan Description (Option 2)

2025 Cigna OAP High Benefit Summary (Option 3)

2025 Cigna OAP High Summary of Benefits & Coverage (Option 3)

Cigna OAP High Summary Plan Description (Option 3)

2025 Cigna OAP HSA Benefit Summary (Option 4)

2025 Cigna OAP HSA Summary of Benefits & Coverage (Option 4)

Cigna OAP HSA Summary Plan Description (Option 4)

Dental Documents

2025 MetLife DPPO Benefit Summary

2025 MetLife DHMO Benefit Summary (CA)

2025 MetLife DHMO Benefit Summary (NJ)

2025 MetLife DHMO Benefit Summary (NY)

2025 MetLife DHMO Benefit Summary (TX)

Vision Documents

2025 UHC Vision PPO Benefit Summary

HSA, FSA and Commuter Documents

Benefit Resource, Inc Flexible Spending Account Benefit Summary

Benefit Resource, Inc Commuter Benefit Summary

Supplemental Medical Documents

2025 Cigna Accident Insurance Benefit Summary

2025 Cigna Hospital Indemnity Insurance Benefit Summary

2025 Cigna Critical Illness Insurance Benefit Summary

2025 Cigna Supplemental Medical Rate Sheet

Income Protection Documents

2025 Mutual of Omaha Basic Life and AD&D Benefit Summary

2025 Mutual of Omaha Supplemental Term Life Benefit Summary

2025 Mutual of Omaha Short-Term Disability Benefit Summary

2025 Mutual of Omaha Voluntary Short-Term Disability Benefit Summary

Mutual of Omaha Voluntary Short-Term Disability Certificate

2025 Mutual of Omaha Long-Term Disability Benefit Summary (Owners)

Mutual of Omaha Long-Term Disability Certificate (Owners)

2025 Mutual of Omaha Long-Term Disability Benefit Summary (All Others)

Mutual of Omaha Long-Term Disability Certificate (All Others)

2025 Mutual of Omaha New York Disability/Paid Family Leave Benefit Summary

Retirement Documents

Year Carrier Plan Type Document Type

Mental Health Documents

Mutual of Omaha Employee Assistance Program Overview Flyer

Additional Benefit Documents

Year Carrier Plan Type Document Type

Compliance Notices

Compliance Notices

Beneficiary Documents

Year Carrier Plan Type Document Type