Forms & Plan Documents

Type

- Any -FormsNewslettersOther DocumentsPlan DocumentsRequired NoticesSummary of Benefits and Coverage (SBC)Summary Plan Description (SPD)

Plan

- Any -DentalDisabilityFlexible Spending AccountsLife InsuranceMedicalOther Plans and ProgramsVision

Provider

- Any -AetnaCignaCVS CaremarkOptumOtherVSPZurich

Forms

• Affidavit of Domestic Partnership
• Dependent Care Flexible Spending Account (FSA) Claim Form
• Dependent Verification Required Documents
• Domestic Partner Benefit Program Certification of Legal Tax Dependents Affidavit
• Health Care Flexible Spending Account (FSA) Claim Form
• Surrogacy Assistance Program Reimbursement Form

Newsletters

• February Newsletter
• January Newsletter
• March Newsletter

Other Documents

• 401(k) Contribution Chart
• Empower Think Twice
• ESPP Enrollment Guide for E*Trade
• ESPP Trading Schedule
• FY 2021 AE What's Changing
• FY 2021 Plan Snapshot
• Health Care Reform Eligibility
• Insider Trading Policy
• Retirement Distribution Options
• SDI/VDI Comparison Chart
• Total Rewards Summary

Plan Documents

• Aetna Dental Summary of Benefits
• Basic Life and AD&D Insurance Policy
• Cigna Select PPO Summary of Benefits
• ESPP Prospectus
• Intuit Inc. Consolidated Welfare Plan
• Intuit Inc. Consolidated Welfare Plan Amendment
• Intuit Inc. Flexible Benefit Plan
• Intuit Inc. Flexible Benefit Plan Amendment
• VSP Evidence of Coverage

Required Notices

• Cal-COBRA Notice
• CHIP Notice 2020
• Genetic Information Nondiscrimination Act Notice
• Health Insurance Marketplace Notice
• HIPAA Amendment to Consolidated Welfare Benefit Plan
• HIPAA Privacy Notice
• Newborns' and Mothers' Health Protection Act Notice
• Notice of Special Enrollment Periods
• Summary Annual Report for Consolidated Welfare Plan FY 2019
• Wellness Program EEOC Notice
• Women’s Health and Cancer Rights Act Required Annual Notice

Summary of Benefits and Coverage (SBC)

• Cigna Select PPO Summary of Benefits and Coverage (SBC)—FY 2021

Summary Plan Description (SPD)

• Cigna Select PPO Summary Plan Description (SPD)—FY 2021
• Summary of Material Modifications (SMM) for the Intuit Consolidated Welfare Plan–FY 2021

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