Compliance - Plan Documents
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Dental
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Vision
General Benefit Documents
Pulmonx Benefit Documents
2024 Plan Year
2024 Pulmonx Benefit Premium Rates
Pulmonx Corporation Health & Welfare Plan Document
2024 Pulmonx Corporation Health and Welfare Wrap Summary Plan Description (SPD)
This WRAP/SPD and the underlaying carrier plan documents (components) posted here constitute the full plan document.
2024 Flexible Spending Account SPD
Cigna Medical Plans
2025
2024
Cigna OA-20
2024 Cigna OA-20 Summary of Benefits & Coverage
2024 Cigna OA-20 Benefit Summary
2024 Cigna OA-20 Evidence of Coverage
Cigna PPO 15-250
2024 Cigna PPO 15-250 Summary of Benefits & Coverage
2024 Cigna PPO 15-250 Benefit Summary
2024 Cigna PPO 15-250 Evidence of Coverage
Cigna PPO 25-750
2024 Cigna PPO 25-750 Summary of Benefits & Coverage
2024 Cigna PPO 25-750 Benefit Summary
2024 Cigna PPO 25-750 Evidence of Coverage
Cigna HDHP PPO $1,600 Deductible
2024 Cigna HDHP PPO $1,600 Deductible Summary of Benefits & Coverage
2024 Cigna HDHP PPO $1,600 Deductible Benefit Summary
2024 Cigna HDHP PPO $1,600 Deductible Evidence of Coverage
Cigna OA-20
2024 Cigna OA-20 Summary of Benefits & Coverage
2024 Cigna OA-20 Benefit Summary
2024 Cigna OA-20 Evidence of Coverage
Cigna PPO 15-250
2024 Cigna PPO 15-250 Summary of Benefits & Coverage
2024 Cigna PPO 15-250 Benefit Summary
2024 Cigna PPO 15-250 Evidence of Coverage
Cigna PPO 25-750
2024 Cigna PPO 25-750 Summary of Benefits & Coverage
2024 Cigna PPO 25-750 Benefit Summary
2024 Cigna PPO 25-750 Evidence of Coverage
Cigna HDHP PPO $1,600 Deductible
2024 Cigna HDHP PPO $1,600 Deductible Summary of Benefits & Coverage
2024 Cigna HDHP PPO $1,600 Deductible Benefit Summary
2024 Cigna HDHP PPO $1,600 Deductible Evidence of Coverage
Cigna Pharmacy Benefits
2024 Cigna Drug Advantage 4-Tier Formulary Drug List
View Summary of Formulary Changes effective July 1, 2024
Kaiser Medical Plans
2024
Kaiser Traditional HMO (CA Only)
2024 Kaiser HMO Summary of Benefits & Coverage
2024 Kaiser HMO Copay Benefit Summary
2024 Kaiser HMO Evidence of Coverage
2024 Kaiser HMO Evidence of Coverage Chiropractic- Acupuncture
Kaiser HSA-Qualified HDHP HMO (CA Only)
2024 Kaiser HDHP HMO $1,600 Summary of Benefits & Coverage
2024 Kaiser HDHP HMO $1,600 Benefit Summary
2024 Kaiser HDHP HMO $1,600 Evidence of Coverage
2024 Kaiser HDHP HMO $1,600 Evidence of Coverage Chiropractic- Acupuncture
Kaiser Pharmacy Benefits
Additional Programs and Resources
VSP Vision Plan
Additional Programs and Resources
Tax Advantaged Accounts (through Igoe)
2024 Tax Advantage Accounts Overview
Health Savings Account (HSA)
Health Care Flexible Spending Accounts (FSAs)
General Health Care FSA Overview
General Health Care FSA Information and Eligible Expenses
Complete List of Health Care FSA Eligible Expenses
Limited Purpose Health Care FSA Overview
Limited Purpose Health Care FSA Information and Eligible Expenses
Dependent Care Flexible Spending Account (FSA)
Dependent Care FSA Information and Eligible Expenses
Commuter Benefit Accounts
Income Protection Plans (through Lincoln Financial Group)
Basic Life and AD&D
2024 Basic Life and AD&D Plan Summary
2024 Basic Life and AD&D Evidence of Coverage
Short Term Disability (STD)
2024 STD Evidence of Coverage
Long Term Disability (LTD)
Retirement - 401k Savings Plan (through Empower Retirement)
Employee Assistance Programs