$2,000 / $6,000
Annual Deductible
$5,000 / $12,500
Out-of-Pocket Maximum
$25 copay
Primary Care/Office Visit
$50 copay
Specialist Visit
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$2,000 / $6,000
Annual Deductible
$5,000 / $12,500
Out-of-Pocket Maximum
$25 copay
Primary Care/Office Visit
$50 copay
Specialist Visit
$750 / $2,250
Annual Deductible
$4,000 / $8,000
Out-of-Pocket Maximum
$15 copay
Primary Care/Office Visit
$40 copay
Specialist Visit
$2,250 / $6,750
Annual Deductible
$8,000 / $16,000
Out-of-Pocket Maximum
$30 copay
Primary Care/Office Visit
$80 copay
Specialist Visit
Annual Deductible
Out-of-Pocket Maximum
$30 copay; 3 visits/year
Primary Care/Office Visit
Specialist Visit
Included with Aetna Medical Plans
$50 (Individual) / $150 (Family)
Annual Deductible
$1,000 per covered person
Calendar Year Maximum
You pay 30% after deductible
Basic Services
Not covered
Orthodontic Services
$50 (Individual) / $150 (Family)
Annual Deductible
$1,500 per covered person
Calendar Year Maximum
You pay 20% after deductible
Basic Services
You pay 50% (Up to age 20)
Orthodontic Services
None
Annual Deductible
None
Calendar Year Maximum
Based on copay schedule
Basic Services
Based on copay schedule (Up to age 20)
Orthodontic Services
No copay (Plus); $10 copay (General)
Eye Exam Copay
See copay schedule
Lenses
$155 allowance + 20% off balance
Frames
Up to $130 allowance
Contacts
No copay
Eye Exam Copay
See copay schedule
Lenses
$250 allowance + 20% off balance
Frames
Up to $200 allowance
Contacts
Stretch your dollars on everyday medical expenses.
Pre-tax savings for daycare, after-school care & more.
Save on your ride to work: bus, train, or parking.
Core coverage your family can count on.
Income protection for life's temporary detours.
Support when recovery takes longer than expected.
Extra protection for what matters most.
Income protection for temporary disabilities or medical leave.
Life insurance coverage that builds cash value and lasts into retirement.
Get cash support when the unexpected hits.
A financial cushion during life’s biggest curveballs.
Cash benefits for hospital stays and recovery.
Affordable help with life’s legal moments.
Shield your identity. Stay secure.
Expert Second Opinions
Pelvic Health for Women
Reversal of Diabetes & Obesity
Support for Quitting Tobacco
Digital Physical Therapy
Family Support & Parenting Guidance
24/7 Counseling and Life Assistance
One-on-One Behavior Coaching
Get Rewarded for Healthy Habits
Clinically Proven Anxiety Reduction
Whole-Person Wellness Platform
Quarterly Motivation to Stay Well
Save 50% on Tuition
Employee Recognition Platform
Exclusive Brand Deals
Pet Health Coverage
Discount Marketplace
Extra Benefits at LCG
Pursue Academic Goals
Plan administered by Principal
On-Demand Pay Access
Voluntary Life and AD&D
Supplemental Life Benefits Summary Class 3Supplemental Life Benefits Summary Class 3Voluntary Life and AD&D
Basic and Supplemental Term Life Certificate Class 3Basic and Supplemental Term Life Certificate Class 3Voluntary Life and AD&D
Basic and Supplemental AD&D Certificate Class 3Basic and Supplemental AD&D Certificate Class 3Voluntary Life and AD&D
Supplemental AD&D Benefits Summary Class 1-2Supplemental AD&D Benefits Summary Class 1-2Voluntary Life and AD&D
Supplemental Life Benefits Summary Class 1-2Supplemental Life Benefits Summary Class 1-2Voluntary Life and AD&D
Basic and Supplemental AD&D Certificate Class 1-2Basic and Supplemental AD&D Certificate Class 1-2Voluntary Life and AD&D
Basic and Supplemental Term Life Certificate Class 1-2Basic and Supplemental Term Life Certificate Class 1-2Voluntary Life and AD&D
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LaPetite Academy, Inc. BHS Supplemental Life Class 3LaPetite Academy, Inc. BHS Supplemental Life Class 3Identity Theft
2025 Essentials & Platinum Plus Feature Summary2025 Essentials & Platinum Plus Feature SummaryIdentity Theft
2025 Essentials Platinum Plus Family IDW Benefit Summary2025 Essentials Platinum Plus Family IDW Benefit SummaryShort-term Disability
STD 26 Weeks (Non-CA and Non-NJ Residents)STD 26 Weeks (Non-CA and Non-NJ Residents)Short-term Disability
STD 13 Weeks (Non-CA and Non-NJ Residents)STD 13 Weeks (Non-CA and Non-NJ Residents)Long-term Disability
LTD 2-Year Benefit After 90 Days DisabledLTD 2-Year Benefit After 90 Days DisabledLong-term Disability
LTD 5-Year Benefit After 180 Days DisabledLTD 5-Year Benefit After 180 Days DisabledLong-term Disability
LTD 5-Year Benefit After 90 Days DisabledLTD 5-Year Benefit After 90 Days DisabledLong-term Disability
LTD 2-Year Benefit After 180 Days DisabledLTD 2-Year Benefit After 180 Days DisabledShort-term Disability
STD DisabilityFlex (Non-CA Residents)STD DisabilityFlex (Non-CA Residents)LifeTime Benefit Term Life
Chubb Lifetime Benefit Term CertificateChubb Lifetime Benefit Term CertificateLegal Plan
Aura Identity Restoration Services OverviewAura Identity Restoration Services OverviewBasic Life and AD&D
LaPetite Academy, Inc. BHS Basic Life Class 3LaPetite Academy, Inc. BHS Basic Life Class 3Basic Life and AD&D
Benefit Summary Basic AD&D Class 2Benefit Summary Basic AD&D Class 2Basic Life and AD&D
Benefit Summary Basic AD&D Class 3Benefit Summary Basic AD&D Class 3Basic Life and AD&D
LaPetite Academy, Inc. BHS Basic Life Class 1LaPetite Academy, Inc. BHS Basic Life Class 1Basic Life and AD&D
LaPetite Academy, Inc. BHS Basic Life Class 2LaPetite Academy, Inc. BHS Basic Life Class 2Basic Life and AD&D
Benefit Summary Basic AD&D Class 1Benefit Summary Basic AD&D Class 1Perks and Programs
2025 EyeMed Special Offers Member Flyer2025 EyeMed Special Offers Member FlyerTobacco Cessation
Affidavit of No Tobacco Use Affidavit RevisedAffidavit of No Tobacco Use Affidavit RevisedCommuter Benefit
PayFlex Commuter Benefits ReimbursementPayFlex Commuter Benefits ReimbursementPreventive Drug Guidelines
Health Care Reform Preventive Drug Coverage GuidelinesHealth Care Reform Preventive Drug Coverage GuidelinesBrochures
Employee Childcare Discount Program FY24Employee Childcare Discount Program FY24Brochures
MU Employee Childcare Discount Program FY24MU Employee Childcare Discount Program FY24Brochures
Employee Grandparent Childcare Discount Program FY24 (1/1/2024)Employee Grandparent Childcare Discount Program FY24 (1/1/2024)Guidance Resources (EAP)
Counseling Services Brochure (Ability Assist)Counseling Services Brochure (Ability Assist)Limited Medical
MEC Summary of Benefits and Coverage (2025)MEC Summary of Benefits and Coverage (2025)Limited Medical
Employee Health and Welfare Summary Plan DescriptionEmployee Health and Welfare Summary Plan DescriptionGeneral Documents (Medical, Dental, Vision, etc.)
Concierge Member BrochureConcierge Member BrochureGeneral Documents (Medical, Dental, Vision, etc.)
Aetna App and Website OverviewAetna App and Website OverviewGeneral Documents (Medical, Dental, Vision, etc.)
APCN Plus Multi-Tier PlanAPCN Plus Multi-Tier PlanGeneral Documents (Medical, Dental, Vision, etc.)
Transform Oncology BrochureTransform Oncology BrochureGeneral Documents (Medical, Dental, Vision, etc.)
CirrusMD Preventive CareCirrusMD Preventive CareGeneral Documents (Medical, Dental, Vision, etc.)
MinuteClinic Member BrochureMinuteClinic Member BrochureGeneral Documents (Medical, Dental, Vision, etc.)
Preventive Health Services BrochurePreventive Health Services Brochure401(k) Matching Program
401(k) Summary Plan Description401(k) Summary Plan DescriptionSummary of Benefits and Coverage (SBC)
Cigna Dental CA SDBC DHMO PCS (01/01/2024)Cigna Dental CA SDBC DHMO PCS (01/01/2024)General Documents (Medical, Dental, Vision, etc.)
National Children' Dental Health MonthNational Children' Dental Health Month