Compliance and Resources
Access detailed information about your benefits here
Compliance and Resources Menu
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General Benefit Documents
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Medical
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Previous Medical Plan (2023)
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Dental
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Previous Dental Plan (2023)
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Vision
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Tax-Advantaged Accounts
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Income Protection Plans
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401(k)
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General Benefit Documents
Pulmonx Benefit Documents
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2024
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2024 Pulmox Benefit Premium Rates
2024 New Hire Benefits Presentation Deck
2024 New Hire Benefits Presentation (pre-recorded)
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2023/2022
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Pulmonx Health & Welfare Summary Plan Description (SPD)​
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2024 Pulmonx Corporation Wrap Summary Plan Description (SPD)
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2024 Cigna Medical EOCs
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2024 Kaiser EOCs
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2024 Kaiser HMO Evidence of Coverage Chiropractic- Acupuncture
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2024 Kaiser HDHP HMO $1,600 Evidence of Coverage Chiropractic- Acupuncture
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2024 Cigna Dental EOCs
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2024 Lincoln EOCs
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McGriff Pharmacy Discount Card ​
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McGriff Discount Card Overview
Cigna Medical Plans
Cigna OA-20
2024 Cigna OA-20 Summary of Benefits & Coverage
2024 Cigna OA-20 Benefit Summary
2024 Cigna OA-20 Evidence of Coverage
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Cigna PPO 15-250
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2024 Cigna PPO 15-250 Summary of Benefits & Coverage
2024 Cigna PPO 15-250 Benefit Summary
2024 Cigna PPO 15-250 Evidence of Coverage
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Cigna PPO 25-750
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2024 Cigna PPO 25-750 Summary of Benefits & Coverage
2024 Cigna PPO 25-750 Benefit Summary
2024 Cigna PPO 25-750 Evidence of Coverage
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Cigna HDHP PPO $1,600 Deductible
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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
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2024 Cigna Drug Advantage 4-Tier Formulary Drug List
Preventive Care Services
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Kaiser Medical Plans
2024
Kaiser Traditional HMO (CA Only)
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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
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Kaiser HSA-Qualified HDHP HMO (CA Only)
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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
2023
Kaiser Traditional HMO $20 Copay (CA Only)
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2023 Kaiser Traditional HMO $20 Copay Summary of Benefits & Coverage
2023 Kaiser Traditional HMO $20 Copay Benefit Summary
2023 Kaiser Traditional HMO $20 Copay Chiropractic Care Benefit Summary
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Kaiser HSA-Qualified HDHP HMO (CA Only)
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2023 Kaiser HSA-Qualified HDHP HMO $1,500 Summary of Benefits & Coverage
2023 Kaiser HSA-Qualified HDHP HMO $1,500 Benefit Summary
2023 Kaiser HSA-Qualified HDHP HMO $1,500 Chiropractic Care Benefit Summary
Additional Programs and Resources
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Ginger App - 24/7 Emotional Support
Blue Shield of California Medical Plans (from Plan year 2023)
Access+ HMO Per Admit 20-250 (CA Only)
2023 Blue Shield Access+ HMO Per Admit 20-250 (CA Only) Summary of Benefits & Coverage
2023 Blue Shield Access+ HMO Per Admit 20-250 (CA Only) Benefit Summary
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Full PPO Combined Deductible 15-250 90/70
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2023 Blue Shield Full PPO Combined Deductible 15-250 90/70 Summary of Benefits & Coverage
2023 Blue Shield Full PPO Combined Deductible 15-250 90/70 Benefit Summary
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Full PPO Split Deductible 25-750 80/60
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2023 Blue Shield Full PPO Split Deductible 25-750 80/60 Summary of Benefits & Coverage
2023 Blue Shield Full PPO Split Deductible 25-750 80/60 Benefit Summary
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HDHP PPO $1,500 Deductible
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2023 Blue Shield HDHP PPO $1,500 Deductible Summary of Benefits & Coverage
Blue Shield of California Pharmacy Benefits
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Blue Shield of California Drug Formulary List (Plus Formulary)
Cigna Dental Plan
Cigna Dental PPO Plan
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2024 Cigna Dental PPO Summary of Benefits & Coverage (SBC)
2024 Cigna Dental PPO Benefit Summary
2024 Cigna Dental PPO Benefit Summary (TX only)
2024 Cigna Dental PPO Evidence of Coverage
2024 Cigna Dental PPO Evidence of Coverage (TX only)
2024 Cigna Dental PPO Evidence of Coverage (LA only)
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Delta Dental Plan (from Plan year 2023)
VSP Vision Plan
VSP Signature Network
2024
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2024 VSP Vision Benefit Summary
2024 VSP Vision Evidence of Coverage
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2023
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2023 VSP Vision Benefit Summary
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Additional Programs and Resources
Tax Advantaged Accounts (through Igoe)
2024
2024 Tax Advantage Accounts Overview
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2023
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2023 Tax Advantage Accounts Overview
Health Savings Account (HSA)
2024
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2023
HSA Information and Eligible Expenses
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Health Care Flexible Spending Accounts (FSAs)
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General Health Care FSA Overview
General Health Care FSA Information and Eligible Expenses
Complete List of Health Care FSA Eligible Expenses
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Limited Purpose Health Care FSA Overview
Limited Purpose Health Care FSA Information and Eligible Expenses
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Dependent Care Flexible Spending Account (FSA)
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Dependent Care FSA Information and Eligible Expenses
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Commuter Benefit Accounts
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Income Protection Plans (through Lincoln Financial Group)
Basic Life and AD&D
2024
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2024 Basic Life and AD&D Plan Summary
2024 Basic Life and AD&D Evidence of Coverage
2023
2023 Basic Life and AD&D Plan Summary
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Short Term Disability (STD)
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2024
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2023
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Long Term Disability (LTD)
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2024
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2023
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401k (through Empower Retirement)
401k Plan
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2024
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2024 401k Summary Plan Description
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2023
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2023 401k Summary Plan Description
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Employee Assistance Programs
Lincoln EAP
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2024
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2023
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Concern EAP (from Plan Year 2023)
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California
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Colorado​
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Connecticut
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Maryland
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Massachusetts
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Minnesota
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Michigan
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Nebraska​
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Nevada
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New Hampshire
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New Jersey
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New York
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North Carolina
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Ohio
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Oklahoma
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Oregon
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Washington
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Wisconsin
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West Virginia
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