Documents Center – The University of Arizona Global Campus

Documents Center

General

2020-2021 Benefits Guide (pdf)
2019-2020 Benefits Guide (pdf)
2019-2020 Benefits Overview Presentation (pdf)
Who to Contact for Help (pdf)
Glossary of Benefits Terminology (pdf)
List of Benefits Mobile Apps (pdf)
How to Add Dependents in Workday (pdf)
How to Add Beneficiaries in Workday (pdf)
How to Change your Retirement Contribution (pdf)
How to Update your Address in Workday (pdf)
How to Enroll as a New Hire or Create a Life Event (pdf)
How to Enroll During Open Enrollment (pdf)

Medical

1500 Choice Fund with HRA Benefit Summary (pdf)
2000 Choice Fund with HSA Benefit Summary (pdf)
2500 Choice Fund with HRA Benefit Summary (pdf)
Southern CA Select HMO Benefit Summary (pdf)
Pharmacy Drug List as of 01-01-2020 (pdf)
How to Print Your Temporary ID Card (pdf)
Health Advocacy Services (pdf)

Dental

Dental PPO Benefit Summary (pdf)
Dental PPO Benefit Summary - Louisiana (pdf)
Dental PPO Benefit Summary - Texas (pdf)
Generic Dental ID Card (pdf)

Vision

Vision Plan Benefit Summary (pdf)

Supplemental Benefits

Cigna Welcome Guide (pdf)
Hospital Indemnity Benefit Summary (pdf)
Accidental Injury Benefit Summary (pdf)
Critical Illness Benefit Summary (pdf)
How to File a Claim (pdf)
How to Claim Wellness Benefits (pdf)
MetLaw Benefit Summary (pdf)
InfoArmor Benefit Summary (pdf)
InfoArmor Summary Plan Description (pdf)

Life and AD&D

Cigna Welcome Guide (pdf)
Voluntary Life/AD&D Benefit Summary (pdf)
Evidence of Insurability Form (pdf)
Basic Life Benefit Summary - Managers (pdf)
Basic AD&D Benefit Summary - Managers (pdf)
Basic Life Benefit Summary - Non-Managers (pdf)
Basic AD&D Benefit Summary - Non-Managers (pdf)

Disability

Cigna Welcome Guide (pdf)
Short-Term Disability Benefit Summary (pdf)
Long-Term Disability Benefit Summary (pdf)
How to File a Claim (pdf)

HSA/HRA/FSA

HSA/HRA/FSA Presentation (pdf)

Retirement

403(b) Summary Plan Description (pdf)
403(b) Enrollment Guide (pdf)
403(b) Enroll Flyer (pdf)
Annual 403(b) Notice with QDIA (pdf)
Participant Fees Disclosure Statement (pdf)

Employee Assistance Program

Leave of Absence (LOA)

Certification of Healthcare Provider - Employee (pdf)
Certification of Healthcare Provider - Family Member (pdf)
Certification to Return to Work (pdf)
California CFRA Notice (pdf)
Federal FMLA Notice (pdf)
California PDL Notice (pdf)
COBRA FAQ (pdf)

Better Life Programs

Annual Notices

Children's Health Insurance Program (CHIP) (pdf)
COBRA Continuation Rights (pdf)
Health Insurance Marketplace Coverage Options (pdf)
HIPAA Notice Privacy Practices (pdf)
Medicare Part D (pdf)
Michelle's Law (pdf)
Newborns and Mothers Health Protection Act (pdf)
Patient Protection Notice (pdf)
Wellness Plan Notice (pdf)
Womens Health and Cancer Rights Act (pdf)
Cafeteria Plan Document (pdf)
Cafeteria Plan Summary (pdf)
Wrap Plan Document (pdf)
Wrap Plan Summary (pdf)

Associate Faculty Members

Benefits Information for Associate Faculty Members (pdf)

Pet Insurance

Pet Insurance Flyer (pdf)
Pet Insurance Benefit Guide (pdf)