Medical

• HDHP Employee + 1 Child
   

• HDHP Employee and Employee + Family
  ​

• Tier 1 PPO EE + 1 Child
   

• Tier 1 PPO Employee and Employee Family
   

• Tier 2 PPO Employee + 1 Child
   

• Tier 2 PPO Employee and Employee Family
   

• Tier 3 PPO Employee + 1 Child
   

• Tier 3 PPO Employee and Employee + Family
   

​

Dental​

​

• DPPO Plan A

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• DPPO Plan B​

​

• DHMO Plan
   

Vision
 

• CIGNA Vision SPD

​

Life and Disability​

​

• NY Life Basic Term Life Amendment (Devereux-Paid)​

​

• NY Life Voluntary AD&D Amendment

​

• NY Life Basic Term Life Class 1 (Devereux-Paid)​

​

• NY Life Basic Term Life Class 2 (Devereux-Paid)​

​

• NY Life Short-Term Disability Amendment

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• NY Life Long-Term Disability (Devereux-Paid)

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• NY Life Long-Term Disability Class 1 (Devereux-Paid)

​

Flexible Spending Accounts

​

• Flexible Spending Accounts

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Retirement Plan​

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• TIAA Retirement Plan
   

• TIAA Retirement Plan SPD
   

 

Health and Welfare
 

• Health and Welfare Summary Plan Description