Forms and Summaries
The documentation for each of your benefit offerings is included below.
Click on any of the categories to see the available forms and information.
Medical / Dental / Vision / Pharmacy
Dental
Dental Benefit SummaryenDental Benefit SummaryesCigna Dental Plan Comparison GuideenCigna Dental Plan Comparison GuideesDental Patient Charge ScheduleenDental Patient Charge ScheduleesCigna Dental WellnessPlusenCigna Dental WellnessPlusesMake the most of your Dental PlanenMake the most of your Dental Planes
Prescription & Pharmacy Benefits
JPS Pharmacy LocationsenJPS Pharmacy LocationsesGoodRx Pricing — Member GuideenGoodRx Pricing — Member GuideesGoodRx Pricing —Price Assure enGoodRx Pricing —Price Assure esPreventive Medication ProgramenPreventive Medication ProgramesPreferred Formulary Clinical UpdateenPreferred Formulary Clinical UpdateesMaintenance Medications Drug ListenMaintenance Medications Drug ListesNational Preferred 4-Tier Specialty Prescription Drug ListenNational Preferred 4-Tier Specialty Prescription Drug ListesPreventive MedicationsenPreventive MedicationsesPreventive Medications Drug ListenPreventive Medications Drug ListesmyCignaRx App GuideenmyCignaRx App GuideesLower Prices for Generic MedicationsenLower Prices for Generic Medicationses
Spending Accounts
Health Savings Account (HSA)
Lifestyle Spending Account (LSA)
Commuter Benefits
Retirement
Retirement – 403(b)
Retirement – 457
Retirement – 401(a)
Life & Disability
Basic Group Life Buy-Up
Basic Life with AD&D Benefit SummaryenBasic Life with AD&D Benefit SummaryesHow to File a Life Insurance ClaimenHow to File a Life Insurance ClaimesLife Insurance Conversion Kit enLife Insurance Conversion Kit es Life Insurance Portability Kiten Life Insurance Portability Kites Evidence of Insurabilityen Evidence of Insurabilityes
Supplemental Life and AD&D
Supplemental Life and AD&D Benefit SummaryenSupplemental Life and AD&D Benefit SummaryesHow to File a Life Insurance ClaimenHow to File a Life Insurance ClaimesLife Insurance Conversion Kit enLife Insurance Conversion Kit esLife Insurance Portability Kit enLife Insurance Portability Kit esEvidence of InsurabilityenEvidence of Insurabilityes
Accident
Accident Benefit SummaryenAccident Benefit SummaryesAccident Enrollment GuideenAccident Enrollment GuideesUnderstanding Your Health Screening BenefitenUnderstanding Your Health Screening Benefites How to File an Accident Claimen How to File an Accident ClaimesAccident Claim FormenAccident Claim FormesMy Group Online (MyGO) GuideenMy Group Online (MyGO) Guidees
Critical Illness
Critical Illness Benefit SummaryenCritical Illness Benefit SummaryesCritical Illness Enrollment GuideenCritical Illness Enrollment GuideesHealth Screening InformationenHealth Screening InformationesHow to File a ClaimenHow to File a ClaimesMy Group Online (MyGO) GuideenMy Group Online (MyGO) Guidees
Hospital Confinement
Hospital Confinement Summary of BenefitsenHospital Confinement Summary of BenefitsesHospital Confinement Enrollment GuideenHospital Confinement Enrollment GuideesHospital Confinement How to File a ClaimenHospital Confinement How to File a ClaimesHospital Confinement Certificate Of CoverageenHospital Confinement Certificate Of CoverageesMy Group Online (MyGO) GuideenMy Group Online (MyGO) Guidees