Plan Documents & Legal Notices

2026

Voya – Accident Insurance Plan Summary

Voya – Accident Insurance Certificate of Coverage

Voya – How To File A Claim

Voya – How To Identify Claims Opportunities

To learn more, visit the Accident Insurance page.

2026

Lennox – Adoption Reimbursement Program

Lennox – Adoption Reimbursement Form

To learn more, visit the Expanding Your Family page.

2026

Voya – Critical Illness Insurance Plan Summary

Voya – Critical Illness Insurance Certificate of Coverage

Voya – Critical Illness Insurance $100 Wellness Benefit

Voya – Critical Illness Attending Physician Statement

Voya – How To File A Claim

Voya – How To Identify Claims Opportunities

To learn more, visit the Critical Illness Insurance page.

2026

Delta Dental – Benefit Summary

Delta Dental – Evidence of Coverage

To learn more, visit the Dental page.

2026

Navia – Healthcare FSA Benefit

Navia – Healthcare FSA Benefit – Spanish

To learn more, visit the Flexible Spending Accounts (FSAs) page.

2026

Sedgwick – Short-Term Disability SPD (Salaried)

Sedgwick – Short-Term Disability SPD (Hourly)

New York Life – Long-Term Disability Benefit Summary (Salaried – Class 1)

New York Life – Long-Term Disability SPD (Salaried – Class 1)

New York Life – Long-Term Disability Benefit Summary (Hourly – Class 2)

New York Life – Long-Term Disability SPD (Hourly – Class 2)

To learn more, visit the Leave of Absence and Disability page.

2026

Lennox – 2026 Benefits Upon Termination Overview

Lennox – 2026 Retirement Benefits FAQs

To learn more, visit the Leaving Lennox page.

2026

Voya – Life and AD&D Certificate of Coverage (Non-Union)

Voya – How To File A Claim

To learn more, visit the Life and AD&D page.

2026

UMR – 2026 Blue Plan Benefits Summary
UMR – 2026 Blue Plan SPD
UMR – 2026 Green Plan Benefits Summary
UMR – 2026 Green Plan SPD

Affidavits (submit in BenefitSource to avoid surcharges in 2026)
Lennox – 2026 Tobacco Use Affidavit
Lennox – 2026 Working Spouse Affidavit 

To learn more, visit the Medical page.

2027

UMR – 2027 Blue Plan Benefits Summary
UMR – 2027 Green Plan Benefits Summary

Affidavits (submit in BenefitSource to avoid surcharges in 2027)
Lennox – 2027 Tobacco Use Affidavit
Lennox – 2027 Working Spouse Affidavit 

2026

Lennox – Volunteer Time Off Benefit

Lennox – Well-Being Time Off Benefit

To learn more, visit the Paid Time Off page.

2026

Effective January 1, 2026

OptumRx – 01.2026 Premium Standard Formulary

OptumRx – 01.2026 Premium Standard Formulary (Preventive Generics)

OptumRx – 01.2026 Premium Standard Formulary (PA Required)

OptumRx – 01.2026 Premium Standard Formulary (Quantity Limits)

OptumRx – 01.2026 Premium Standard Formulary (Step Therapy)

OptumRx – 01.2026 Premium Formulary Exclusions

To learn more, visit the Prescription Drugs page.

2026

Lennox – Tuition Assistance Program Summary

Lennox – Tuition Assistance Program FAQs

To learn more, visit the Tuition Assistance Program page.

2026

EyeMed – Vision Benefit Summary (English)

EyeMed – Vision Benefit Summary (Spanish)

To learn more, visit the Vision page.