Employee Benefits

Benefit Guides

• Benefits Guide for Laguna Clay CA Employees (Eng)
• Benefits Guide for Laguna Clay CA Employees (Sp)
• Benefits Guide for Kemper Tools Employees (Eng)
• Benefits Guide for Kemper Tools Employees (Sp)
• Benefits Guide for Axner Florida Employees
• Benefits Guide for Laguna Clay Ohio Employees

Authorization Forms

• Laguna Clay CA Employee Authorization Form (Eng)
• Laguna Clay CA Employee Authorization Form (Sp)
• Kemper Tools Employee Authorization Form (Eng)
• Kemper Tools Employee Authorization Form (Sp)
• Axner Florida Employee Authorization Form
• Laguna Clay OH Employee Authorization Form

Exchange Notices

• Exchange Notice for Laguna Clay CA Employees (Eng)
• Exchange Notice for Laguna Clay CA Employees (Sp)
• Exchange Notice for Kemper Tools Employees (Eng)
• Exchange Notice for Kemper Tools Employees (Sp)
• Exchange Notice for Axner Florida Employees
• Exchange Notice for Laguna Clay OH Employees

Additional Documents

• Premium Only Plan Summary Plan Description
• Health & Welfare Plan Wrap Summary Plan Description
• Health & Welfare Plan Summary Annual Report (SAR)

Important Notices

• Carrier Change Information (Eng)
• Carrier Change Information (Sp)

Aetna AWH Southern CA HMO CA25 $30/60 for California Employees Only

• Benefit Summary (Eng)
• Benefit Summary (Sp)
• Summary of Benefits and Coverage (Eng)
• Summary of Benefits and Coverage (Sp)
• Provider Search AWH (Eng)
• Provider Search AWH (Sp)
• Aetna Health App (Eng)
• Aetna Health App (Sp)
• Teladoc Health (Eng)
• Teladoc Health (Sp)
• Schedule of Benefits
• Evidence of Coverage
• Infertility Rider
• Prescription Drug Rider

Aetna AVN HMO CA25 $30/60 for California Employees Only

• Benefit Summary (Eng)
• Benefit Summary (Sp)
• Summary of Benefits and Coverage (Eng)
• Summary of Benefits and Coverage (Sp)
• Provider Search AVN (Eng)
• Provider Search AVN (Sp)
• Aetna Health App (Eng)
• Aetna Health App (Sp)
• Teladoc Health (Eng)
• Teladoc Health (Sp)
• Aetna Health Your Way-Rewards (Eng)
• Aetna Health Your Way-Rewards (Sp)
• Mental Health Awareness Guide
• Mental Health Flyer
• Talkspace Mental Health Solution
• Talkspace Getting Started Guide
• Specialty Pharmacy Flyer (Eng)
• Specialty Pharmacy Flyer (Sp)
• Mail Service Pharmacy (Eng)
• Mail Service Pharmacy (Sp)
• Rx Mail Order Form (Eng)
• Rx Mail Order Form (Sp)
• Aetna Resources
• Authorization for the Release of Personal Health Information
• Schedule of Benefits
• Evidence of Coverage
• Infertility Rider
• Prescription Drug Rider

Aetna OA Managed Choice POS CA25 750 80/60 for Employees Outside of California Only

• Benefit Summary (Eng)
• Benefit Summary (Sp)
• Summary of Benefits and Coverage (Eng)
• Summary of Benefits and Coverage (Sp)
• Provider Search OAMC (Eng)
• Provider Search OAMC (Sp)
• Aetna Health App (Eng)
• Aetna Health App (Sp)
• Teladoc Health (Eng)
• Teladoc Health (Sp)
• Aetna Health Your Way-Rewards (Eng)
• Aetna Health Your Way-Rewards (Sp)
• Mental Health Awareness Guide
• Mental Health Flyer
• Talkspace Mental Health Solution
• Talkspace Getting Started Guide
• Specialty Pharmacy Flyer (Eng)
• Specialty Pharmacy Flyer (Sp)
• Mail Service Pharmacy (Eng)
• Mail Service Pharmacy (Sp)
• Rx Mail Order Form (Eng)
• Rx Mail Order Form (Sp)
• Aetna Resources
• Authorization for the Release of Personal Health Information
• Schedule of Benefits
• Certificate of Coverage
• Extraterritorial Riders

Aflac Low Dental PPO

• Benefit Summary (Eng)
• Dental and Vision FAQ
• Dental Member Portal
• Dental & Vision Insurance Member Contacts
• Certificate
• Schedule of Benefits
• Schedule of Covered Procedures

Aflac High Dental PPO

• Benefit Summary (Eng)
• Dental and Vision FAQ
• Dental Member Portal
• Dental & Vision Insurance Member Contacts
• Certificate
• Schedule of Benefits
• Schedule of Covered Procedures

Aflac Vision Plan

• Benefit Summary
• Dental and Vision FAQ
• Buy Eyewear Online With Your Benefits
• Dental & Vision Insurance Member Contacts
• Vision Estimator Tool
• Visionworks Enhancement
• Certificate
• Schedule of Benefits

UnitedHealthcare Basic and Voluntary Life/AD&D

• Benefit Summary
• Basic Life Certificate of Coverage
• Voluntary Life Certificate of Coverage
• Enrollment Form (Eng)
• Enrollment Form (Sp)
• Welcome Brochure
• Beneficiary Designation Form (Eng)
• Beneficiary Designation Form (Sp)
• Evidence of Insurability Form
• Request for Portability of Life Insurance Form
• Individual Life Conversion Request Form
• Life Claim Form (Eng)
• Life Claim Form (Sp)

California

• Information Form
• Accident Advantage Overview
• Cancer Care Overview
• Critical Care Overview
• Disability Overview
• Hospital Confinement Overview
• Plan Costs

Florida

• Information Form
• QR Code Flyer
• Accident Advantage Overview
• Cancer Care Overview
• Critical Care Overview
• Disability Overview
• Hospital Confinement Overview
• Plan Costs

Ohio

• Information Flyer
• QR Code Flyer
• Accident Advantage Overview
• Cancer Care Overview
• Critical Care Overview
• Disability Overview
• Hospital Confinement Overview
• Plan Costs