Documents Library

Health

SPDs/Certificates/SBCs
Kaiser HMO S. Cal. Summary of Benefits
Core Plan PPO 1500 Summary of Benefits
Savings Plan PPO 2300 Summary of Benefits
HSA Value Plan Summary of Benefits
Core Plan Plan Medical Plan Benefit Booklet
CDHP HSA Value Plan Medical Plan Benefit Booklet
Savings Plan Medical Benefit Booklet
Azuria SBC Core
Azuria SBC Savings
Azuria SBC HDHP
Delta Dental PPO SPD
Vision Plan SPD

Additional Information
2026 Benefits Overview
Benefits Quick Reference
Why Choose an HSA?
Why Choose Dependent Care FSA
Health Advocate New Hires Wellness Registration Guide
Workday Benefits Enrollment Quick Tips
PAS EAP overview (with appointment card)
Allsup: Medicare Benefits Coordination

Financial

Salaried/Office Basic and Voluntary Life insurance certificate
Hourly/Field Non-Union Basic and Voluntary Life insurance certificate
Prudential: Benefits Summary for Active FT Salaried and Office Hourly
Prudential: Benefits Summary for Active FT Hourly and Non-Union Hourly Field
Prudential: Benefits Summary for Active FT Officers/Directors
Salaried/Office Basic and Voluntary AD&D Insurance Certificate
Hourly/Field Non-Union Basic and Voluntary AD&D Insurance Certificate
Hourly/Field Non-Union Voluntary Short Term Disability Insurance Certificate
Salaried/Office Short Term Disability Insurance Certificate
Salaried / Office Employees Long-Term Disability Insurance Certificate
Hourly Field /Non-Union Long-Term Disability Insurance Certificate
Officers or Directors Long Term Disability Insurance Certificate
NY Disability Statement of Coverage
NY Paid Leave Statement of Coverage
Accident Insurance Benefit Plan Description (Salaried and Office Hourly)
Accident Insurance Benefit Plan Description (Hourly/Field Staff)
Voluntary Accident & Critical Insurance Highlights (Salaried and Office Hourly)
Voluntary Accident & Critical Insurance Highlights (Hourly/Field Staff)
Critical Illness Summary Plan Description (Salaried and Office Hourly)
Critical Illness Summary Plan Description (Hourly/Field Staff)
Ability Assist Counseling for Accident and Critical Illness
401(k) Retirement Plan Highlights
Principal: Manage Your Retirement Goals
Principal: Online and Mobile Resources
Principal: Social Security Q&A

Rates

Health
Medical and Prescription Drug Rates (See p. 1)
Kaiser Permanente HMO (Calif. Only) (See p. 3)
Dental Plan Rates (See p. 2)
Vision Plan Rates (See p. 2)
Financial
Voluntary Life and AD&D Rates (See p. 2)
Dependent Life Rates (See p. 2)
Disability Coverage Plan Rates (See p. 2)
Accident Insurance Rates (See p. 4)
Critical Illness Insurance Rates (See p. 4)

Forms

Spousal Provision Attestation Form
Domestic Partnership Affidavit
Prudential Evidence of Insurability Form
Tuition Reimbursement Request Approval

Legal Notices

Azuria Water Solutions, Inc. Health Plan Notices
Azuria Water Solutions, Inc. Health Plan Notices (SPANISH)
Illinois Essential Health Benefit Listing
Illinois Essential Health Benefit Listing (SPANISH)
Premium Assistance Under Medicaid and CHIP
Premium Assistance Under Medicaid and CHIP (SPANISH)
Domestic Partner Benefits: Who Qualifies?