Plan Documents and Legal Notices

Medical Documents

2026 Aetna CDHP Summary of Benefits & Coverage

2026 Aetna CDHP Benefit Summary

Aetna HDHP Certificate

Aetna HDHP Schedule of Benefits

2026 Aetna EPO Summary of Benefits & Coverage

2026 Aetna EPO Benefit Summary

Aetna EPO Certificate

Aetna Prescription Drug Guide

Aetna Disabled Child Attending Physician’s Statement

Medical Claim Form

Aetna Pharmacy Management Claim Form

Aetna Request for Continuation of Coverage for Disabled Child

Aetna Rx Home Delivery Form

Aetna Transition Coverage Request (CA)

Aetna Transition Coverage Request (Non-CA)

Aetna Beginning Right Maternity Program

Aetna Discount Program Flyer

Aetna Getting Started with Teladoc

Aetna HDHP Provider Directory

Aetna Health App

Aetna Transition Coverage Request for HMO (CA)

Dental Documents

2026 Aetna Dental HMO Benefit Summary

Aetna Dental HMO Certificate

Aetna Dental HMO Certificate (NJ)

Aetna Dental HMO Evidence of Coverage

2026 Aetna Dental PPO Benefit Summary

Aetna Dental PPO Certificate

Aetna Dental PPO Schedule of Benefits

Vision Documents

2025 Aetna Vision Benefit Summary

Aetna Vision Certificate

Aetna Vision Schedule of Benefits

HSA, FSA and Commuter Documents

Inspira FSA Summary Plan Description

Inspira FSA Claim Form

Inspira Card Keep it Active Flyer

Inspira HSA & FSA Reimbursement FAQ

Inspira Commuter Benefits Flyer

Inspira Commuter Quick Reference Flyer

Inspira Commuter Benefits Reimbursement Flyer

Supplemental Medical Documents

Guardian Medical Accident Summary (HDHP Enrollees)

Guardian Medical Accident Summary (Non-HDHP Enrollees)

Income Protection Documents

2026 Lincoln Vol. Life and AD&D Benefit Summary

2026 Lincoln STD Benefit Summary

2026 Lincoln LTD Benefit Summary (Employees)

2026 Lincoln LTD Benefit Summary (Attorneys)

2026 Lincoln Life and AD&D Benefit Summary

Lincoln Evidence of insurability instructions

Mental Health Documents

Lincoln EAP Flyer

Compliance Notices

Annual Notices

Notice of Deadline Extension & Summary of Material Modifications

Notice of Exchange

Notice of FSA Changes

Notice of Privacy Practices

Summary Annual Reports

Summary of Material Modifications

Wrap Summary Plan Description

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