Plan Documents and Legal Notices

2026 Benefits Guide

2026 Secur-Serv Benefits Guide

Medical Documents

UMR Summary Plan Description

2026 UMR 5000 PPO Summary of Benefits & Coverage

2026 UMR 3000 PPO Summary of Benefits & Coverage

Surest Summary Plan Description

2026 Surest Summary of Benefits & Coverage

2026 Surest Benefit Summary

Real Appeal Preview Flyer

Surest App Flyer

Surest Benefit Flyer 

Surest Provider Search Flyer

Surest How to Search Once You Enroll

UMR Care Choice by Costs with Teladoc Copays

Retail Networks Broad Pharmacy List

Optum Rx Specialty Welcome Flyer

Optum Rx Home Delivery Flyer

Optum Rx Premium Step-Therapy Flyer

Optum Rx Premium Prior-Authorization Flyer

OptumRx Premium Formulary

Dental Documents

2026 Delta Dental DPPO Low Plan Benefits Summary

2026 Delta Dental DPPO High Plan Benefits Summary

Delta Dental Pre-treatment Estimates (MN)

Delta Dental Digital Member Tools (MN)

Vision Documents

2026 VSP Vision Benefit Summary

VSP LightCare Member Flyer

HSA, FSA and Commuter Documents

Optum HSA Intro

Optum HSA FAQs

Optum HSA & Medicare

Optum FSA Brochure

Optum Limited Purpose FSA Brochure

Optum Dependent Care FSA Brochure

Flexible Spending Account Summary Plan Description

Debit Card Substantiation and Member Documentation Request Process

Optum Commuter Benefits FAQs

Supplemental Medical Documents

Unum Voluntary Life/AD&D Benefit Summary w/Rates

Unum Critical Illness Certificate of Coverage

Unum Critical Illness Benefit Summary w/Rates

Unum Critical Illness Claim Form

Unum 1000 Hospital Indemnity Certificate of Coverage

Unum 2500 Hospital Indemnity Certificate of Coverage

Unum Hospital Indemnity Benefit Summary w/Rates

Unum Employer Funded 2500 Hospital Indemnity Benefit Summary

Unum Hospital Indemnity Claim Form 

Income Protection Documents

Unum Life/AD&D Benefit Summary

Unum Life/AD&D Certificate of Coverage

Unum Voluntary Life/AD&D Benefit Summary

Unum Voluntary Life/AD&D Certificate of Coverage

Unum STD Benefit Summary

Unum LTD Benefit Summary

Unum STD & LTD Certificate of Coverage

Retirement Documents

401(k) Retirement Plan Highlights

401(k) Retirement Summary Plan Description

401(k) Retirement Material Modifications Amendment – Eligibility

401(k) Retirement Material Modifications Amendment – Additional Provisions

401(k) Retirement Rollover Form

401(k) Retirement Managing Your Career Transition Flyer

401(k) Retirement Summary Annual Report

Wellness Documents

Work-Life Balance EAP Flyer

Wellness Program Guide – New Hires

Wellness Program Guide

UNUM EAP Medical Bill Saver Flyer

Health Check 360 Company Kick-Off Meeting 

Additional Benefit Documents

UMR Medical Claim Form

UMR FAQ Who is UMR?

UMR Remember to Call Ahead Flyer

UMR Portal Flyer

UMR Place of Service Flyer

UMR How To Find A Provider

UMR Online Member Service

Spousal Affidavit Form

Domestic Partnership Affidavit Form

Incapacitated Dependents Customer Onboarding

Authorization Release Form

Compliance Notices

Secur-Serv Inc. Wrap Plan

Secur-Serv Inc. HIPAA Notice of Privacy Practices

Secur-Serv 2026 Health Plan Notice Packet

Scantron Flex Plan

Scantron Corporation Health Welfare Benefits Plan SAR

CHIP Notices

Carrier Changes Summary of Material Modifications January 1, 2023

Carrier Changes Summary of Material Modifications February 1, 2023

Amendment to Scantron and Cyber Net Plans

Medicare Documents

Medicare Introducing Help Flyer

Medicare Options Flyer

Medicare Benefits for You and Your Loved Ones Flyer

Medicare Monthly Webinar Flyer

Medicare How We Assist Flyer

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