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Important documents and forms are provided for your convenience below.
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Forms
Documents
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2024 Benefits Guide
2024 Innovation Health Medical Plan Comparison
2024 Outside NOVA Medical Plan Comparison
Active Team Member Health Summary Plan Description
Retiree Health Summary Plan Description
2024 Accident Plan Summary
2024 Critical Illness Plan Summary
2024 Hospital Indemnity Plan Summary
2024 Supplemental Medical Rate Sheet
2024 COBRA Rates
2024 Dental Benefit Summary
2024 Prescription Benefit Summary
What’s New for 2024
Capital Rx FAQ
Capital Rx - Family Account Setup
Capital Rx - Pharmacy Locator Instructions
2024 Team Member Contributions
Capital Rx - Website Registration Instructions
2024 Vision Benefit Summary
2024 VSP EasyOptions Plan Summary
Auto & Home Insurance – Farmers
Auto & Home Insurance – Travelers
Auto and Home Exclusions by State
Back-up Care FAQs
Beneficiary Assist Flyer
Beneficiary Checklist
BenefitHub Flyer
Child & Elder Care Supportive Benefits
Commuter Benefits Online Solution
Credit Union Brochure
Enhanced Family Support FAQs
Funeral Concierge Service
Hartford Estate Guidance
Burnalong Program Flyer
The Hartford - How to File a Claim or Request a Leave
Team Member LOA Responsibilities
FML and STD FAQs
Chubb LTC Brochure
EAP Counseling
EAP Flyer
EAP iConnectYou Flyer
EAP Overview
Eyeconic Email Brochure
Commuter Benefits
FSA Flyer
High Fives Flyer
How to Keep Your PayFlex Card Active
HSA Flyer
HSA Investments Flyer
Identity Theft Benefit Summary
Identity Theft Plan Features
Family Scholarship Program FAQs
Inova VIP 360° Concierge Membership Overview
Inova Well Program Overview & FAQs
Inova Wellness Resources List
Inova WellBaby Programs
Inova Well Breastfeeding Program
Aetna Appeals Process Overview
Aetna HDP Inside NOVA Policy Booklet
Aetna HDP Outside NOVA Policy Booklet
Aetna PPO Inside NOVA Policy Booklet
Aetna PPO Outside NOVA Policy Booklet
Inova Pharmacy Plus Brochure
Inova Gender Affirmation Guide
Legal Plan FAQ Flyer
Legal Plan Plus Parents
Limited Purpose FSA Flyer
Lyra Mental Health Program FAQ
Lyra Overview
Transparency in Coverage - Machine Readable Files
No Surprises Act
The Hartford STD Certificate (effective 07/01/23)
The Hartford LTD Certificate for FT TM (effective 07/01/23)
The Hartford LTD Certificate for Management (effective 07/01/23)
NYL STD Certificate (through 6/30/23)
NYL LTD Certificate for FT TMs (through 6/30/23)
NYL LTD Certificate for Managers (through 6/30/23)
The Hartford Basic Life Insurance Certificate
The Hartford Supplemental Life Insurance Certificate
The Hartford Supplemental AD&D Insurance Certificate
The Hartford AD&D Flyer
Paid Parental Leave FAQs
Pet Care Discount Program FAQ
Pet Care Discount Program Flyer
Pet Insurance FAQ Flyer
Support Groups for Pregnancy and New Parents
What Should I Expect at My Next Eye Exam?
WINFertility Benefits Overview
WINFertility Important Resources
WINFertility Support Flyer
Hartford – Notice of Continuation of Coverage (Portability & Conversion)
Supplemental Benefit Portability Form
Travel Assistance and Identity Theft Support Services
Inova Benefits Separation Guide
Quick Links
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Resources
Contacts
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