Documents & Downloads

2025 Benefits Materials

• 2025 Benefits Guide (EN)
• 2025 Benefits Guide (SP)
• 2025 Benefits At-a-Glance (EN)
• 2025 Benefits At-a-Glance (SP)
• 2025 Benefits Newsletter (EN)
• 2025 Benefits Newsletter (SP)
• Beneficiary Checklist

NEW! 2026 Summary of Benefits and Coverage

• SMP – HSA Base Plan 2026 SBC
• SMP – HSA Base Plan 2026 SBC (Spanish)
• SMP – Value Plan 2026 SBC
• SMP – Value Plan 2026 SBC (Spanish)
• SMP – PPO Plan SBC
• SMP – PPO Plan SBC (Spanish)

2025 Summary of Benefits and Coverage

• SMP – HSA Base Plan 2025 SBC
• SMP – HSA Base Plan 2025 SBC (Spanish)
• SMP – HSA Value Plan 2025 SBC
• SMP – HSA Value Plan 2025 SBC (Spanish)
• SMP – PPO Plan 2025 SBC
• SMP – PPO Plan 2025 SBC (Spanish)

Other Documents

• ABCBS Medical Claim Form
• International Medical Claims Form
• Exchange Notice
• Live Health Online
• Disabled Dependent Certification – Application for Continuing Coverage
• Anthem Know Where to Go When You Need Care Flyer
• Anthem Find Care Tool – Find a Provider Flyer

• Tier 1 – 4 National Drug Listings
• ABCBS P Rx Expanded DL 4 Q18 Customized 2
• ABCBS Quantity Limit Drug List
• Preferred Generics

• 2026 Delta Dental Plan Summary
• 2025 Delta Dental Plan Summary
• 2025 Delta Dental Plan Summary – Spanish
• Delta Dental Claim Form
• All About Dental Implants
• Oral Health for Expectant Mothers
• Children’s Dental Health
• Six Great Reasons to Have Your Teeth Cleaned

• Vision Plan Summary
• Out-of-Network Claim Form

• 2025 Wellness Program Overview
• Earn Rewards with Anthem
• 2025 Wellness Program Instructions
• 2025 Preventive Schedule

• GeoBlue Traveler Packet

• Illinois Essential Benefits Compliance Chart

• Progyny Smart Cycle
• Fertility Treatment Coverage
• Progyny Authorization & Financial Responsibility
• Progyny FAQs

• Spring Health FAQ
• Spring Health FAQ (Spanish)
• Spring Health Overview
• Spring Health Work – Life Resources
• Substance Use Disorder Support Overview
• Anthem Mental Health Resources Flyer

• Resources to come

2026 Lantern Summary Plan Description

• HSA Reference Guide
• Maximize your HSA
• Transfer of Assets to Fidelity
• Deposit Slip
• How to Change Your HSA Contribution in Dayforce
• HSA Qualified Expenses

• Form SSA-44
• Transitioning to Retirement
• Medicare Employee Assistance – Eligibility Services
• The Different Parts of Medicare
• When should you claim Social Security?
• Making the Most of Social Security
• Getting More out of Social Security
• Employer Verification Form
• Medicare Part D Notice
• Part B Enrollment Form

• SMP 401k Plan
• Retirement
• Fidelity Financial Wellness Check Up

• Children Health Insurance Program (CHIP)

• Basic Life & AD&D
• Supplemental Life
• Evidence of Insurability (EOI)
• Optional Life Claims Information
• Life Conversion & Portability
• Life Insurance Conversion Form
• Life Insurance Portability Form

• Voluntary Benefits Termination Form (Return to a local HR Representative)
• Voluntary Health Benefits Claims Information
• Reliance Exclusions Details
• VAI/VCI Wellness Benefit Claim Form
• Reliance Beneficiary Designation form
• 2025 Reliance Matrix Highlight Sheet Voluntary Benefits – English
• 2025 Highlight Sheet Voluntary Benefits – Spanish
• 2026 Benefit Summary: Accident Insurance (Anthem)
• 2026 Benefit Summary: Critical Illness Insurance (Anthem)
• 2026 Benefit Summary: Hospital Indemnity Insurance (Anthem)

• Beneficiary Form
• How to file a Leave Claim with Reliance Standard Matrix
• How to File a Disability Claim with Reliance Matrix – Spanish
• How to File a Claim with Reliance Matrix by Phone – Spanish
• Short Term Disability (English)
• Short Term Disability (Spanish)
• Long Term Disability – Hourly (English)
• Long Term Disability – Salaried (English)
• Long Term Disability – Hourly (Spanish)
• Long Term Disability – Salaried (Spanish)

• Parental Leave Policy
• Paid Time Off Request Form
• Employee Manager Checklist
• Non-Child Bearing Parental Leave Schedule
• Employee Manager Maternity Checklist
• Maternity Leave Transition Planning Program
• New York State PFL Benefit (For NY employees only)
• 2025 New York State Prenatal Benefits (NY employees only)