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Resources
Important documents and forms are provided for your convenience below.
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Forms
Documents
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2025 Innovation Health Medical Plan Comparison
Active Team Member Health Summary Plan Description
Retiree Health Summary Plan Description
Accident Plan Summary
Critical Illness Plan Summary
Hospital Indemnity Plan Summary
Supplemental Medical Rate Sheet
2025 Dental Benefit Summary
2025 Prescription Benefit Summary
Capital Rx - Digital Tools
Capital Rx - Family Account Setup
Capital Rx FAQ
Capital Rx - Pharmacy Locator Instructions
2025 Team Member Contributions
Dependent Documentation Requirements
Inova Benefit Center App Instructions
Domestic Partnership Affidavit
How to Process a Qualifying Life Event
How to Upload Documents to the Inova Benefits Center
Capital Rx - Website Registration Instructions
2025 Vision Benefit Summary
2025 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
Return to Work - Fitness for Duty Form
FML and STD FAQs
ADA Reasonable Accommodations Program Contact List
The Hartford - How to Request a Leave or ADA Accommodation
Team Member ADAA Claim Process
Team Member ADAA Responsibilities
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
Identity Theft Portability Form
Family Scholarship Program FAQs
Virginia 529 College Savings Plan Brochure
Inova 360° Concierge Medicine Membership Overview
Inova Well Program Overview & FAQs
Inova Wellness Resources List
Inova WellBaby Programs
Inova Well Breastfeeding Program
Aetna Appeals Process Overview
Aetna HDHP Inside NOVA Policy Booklet
Aetna HDHP Outside NOVA Policy Booklet
Aetna PPO Inside NOVA Policy Booklet
Aetna PPO Outside NOVA Policy Booklet
Aetna Policy Booklet Amendment
Aetna HDHP Inside NOVA Summary of Benefits
Aetna HDHP Outside NOVA Summary of Benefits
Aetna PPO Inside NOVA Summary of Benefits
Aetna PPO Outside NOVA Summary of Benefits
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
Business Travel Accident (BTA) Policy
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)
The Hartford LTD Certificate for Physicians (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 Basic AD&D 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?
Medicare Assistance through SmartConnect
WINFertility Benefits Overview
WINFertility Important Resources
WINFertility Support Flyer
The Hartford – Notice of Continuation of Coverage (Portability & Conversion)
How to Complete a Beneficiary Designation
Supplemental Benefit Portability Form
Travel Assistance and Identity Theft Support Services
Notice of Compliance - Connecticut Paid Family Medical Leave Benefits
Notice of Compliance - Massachusetts Paid Family Medical Leave Benefits
Notice of Compliance - New Jersey Family Leave Insurance Benefits
Notice of Compliance - New Jersey Temporary Disability Benefits
Notice of Compliance - New York Disability Benefits
Notice of Compliance - New York Paid Family Leave
Summary Annual Report (SAR) - Health and Welfare Plan
Summary Annual Report (SAR) - Health and Welfare Plan - Retiree
Summary Annual Report (SAR) - 401(k)
Summary Annual Report (SAR) - 403(b)
2025 Benefits Guide
2025 Dental Plan Summary
2025 Innovation Health Medical Plan Comparison
2025 Outside NOVA Medical Plan Comparison
2025 Prescription Plan Summary
2025 Team Member Contributions
2025 Vision Plan Summary
2025 VSP EasyOptions Plan Summary
2025 COBRA Rates
2025 Inova Benefits Separation Guide
Quick Links
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