Important Documents

Medical, Dental and Vision

2025 Benefit Guide  
JPS Dependent Verification Requirements  
JPS Uploading Supporting Documents  
2025 HSP Benefit Summary  
2025 EPO Benefit Summary  
2025 myCigna Guide  
2025 Cigna Healthy Pregnancy Guide  
2025 Cigna Healthy Pregnancy Mobile App  
2025 Cigna Dental Benefit Summary  
2025 Cigna DHMO Dental Charge Schedule  
2025 EyeMed Vision Benefit Summary  
2025 EyeMed Member FAQs  
2025 HSA Overview  
2025 FSA Overview  
2025 HSA Bank Mobile App  
2024 Benefit Guide  
2024 HSP Medical Plan Benefit Summary  
2024 HSP Plan Summary of Benefits and Coverage  
2024 HSP Medical Plan Certificate Rider  
2024 EPO Medical Plan Benefit Summary  
2024 EPO Plan Summary of Benefits and Coverage  
2024 EPO Medical Plan Certificate Rider  
2024 Cigna Medical Annual Compliance Rider  
2024 Cigna Medical Certificate Rider  
Notice Regarding JPS Wellness Program  
2024 Dental Benefit Summary  
2024 Cigna Dental Annual Compliance Rider  
2024 Cigna Dental Certificate Rider  
2024 Cigna Dental Amendment  
2024 DHMO Dental Charge Schedule  
2024 Dental HMO Provider Directory for TX  
2024 Cigna DHMO Certificate Rider  
2024 Vision Benefit Summary  
VSP How to Look up a Preferred Vision Provider  
2024 HSA Contribution Limits and Regulations  
2024 FSA and DCA Limits and Regulations  
2024 Wex Benefits Mobile App  
2024 FSA and HSA Plan SPD  

Pharmacy

2025 myCigna Pharmacy  
2025 Cigna Prescription Formulary  
2025 Cigna National Preferred Formulary Drug List  
2025 Cigna Standard Plus Preventive Drug List  
2025 $0 Copay PPACA Drug List  
2025 Cigna Exclusive Home Delivery Drug List  
2024 Summary of Drug Coverage JPS Health Network  
2024 Scripta Gold  
2024 MaxorPlus Focus 4 Tier wBCP Formulary February  
2024 MaxorPlus Focus Formulary with Exclusion List  
2024 Exclusive Home Delivery (Mail Order) FAQ  
2024 myMaxorLink FAQ  
My MaxorLink Sign Up  
2024 $0 Copay Hypertension  
2024 $0 Copay Insulin Asthma COPD  
2024 $5 Prescription Program  

Life and Disability

JPS Symetra Basic Life with AD&D Summary - Not Enrolled in Buy Up Plan  
JPS Symetra Basic Life with AD&D Summary - Enrolled in Buy Up Plan  
JPS Symetra Voluntary Life with AD&D Summary  
JPS Symetra Employer Paid Short Term Disability Summary  
JPS Symetra Long Term Disability Summary  
EOI Evidence of Insurability Symetra  
How to File A Disability Claim  
JPS How to File a Life Claim  
Symetra Life Insurance Conversion Kit  
Symetra Life Insurance Portability Kit  
CHUBB Life Insurance Brochure  
CHUBB LBT Life Insurance Claim Form  

Supplemental Worksite

Accident Brochure  
2025 Accident Summary of Benefits  
Accident Coverage Certificate  
Accident Understanding Your Wellness Benefit  
Accident Claim Form  
Critical Illness Brochure  
2025 Critical Illness Summary of Benefits  
Critical Illness Understanding Your Health Screening Benefit  
Critical Illness Coverage Certificate $10,000  
Critical Illness Coverage Certificate $15,000  
Critical Illness Coverage Certificate $20,000  
Critical Illness Coverage Certificate $25,000  
Critical Illness Coverage Certificate $30,000  
Critical Illness Health Screening Benefit Claim Form  
Hospital Confinement Brochure  
2025 Hospital Confinement Summary of Benefits  
Hospital Confinement Coverage Certificate  
Hospital Confinement Claim Form  
Love My Savings-additional value added discounts-Careington  
How to File an Accident, Hospital Confinement, Critical Illness Claim  
Symetra MyGO online claims center  
JPS - LegalShield & IDShield Benefit Summary  
JPS - LegalShield & IDShield Activation Steps  
JPS - LegalShield & IDShield Mobile App  
JPS Upwards Childcare  
Upwards Childcare Assistance Plus Program FAQ  
NW Pet Insurance  
2024 PROVIDER TOTAL REWARDS SUMMARY  

Retirement

Prudential Retirement 430b Plan SPD  
Prudential Retirement 457 Plan SPD  
Prudential Retirement 401a Plan SPD  

Legal Notices

2025 JPS Notices  
2024 JPS Notices  