Benefits
Domestic Partnership Termination Affidavit
Rivian Flexible Benefits Plan SPD
Rivian Welfare Benefit Plan Summary of Material Modifications 2024
Rivian Welfare Benefits Plan Summary Annual Report 2023
Rivian 401(k) Plan Summary Annual Report 2023
401(k) Plan
Medical—Blue Shield
2024 BSC PPO 1000 Summary of Benefits
2024 BSC PPO HSA 1600 Summary of Benefits
2024 BSC PPO HSA 3500 Summary of Benefits
Medical—Anthem
Anthem PPO 1000 Summary of Benefits and Coverage
Anthem HSA 1650 Summary of Benefits and Coverage
Medical—Kaiser Permanente
RIV 2025 Kaiser Socal DHMO Chiro Benefit Summary
RIV 2025 Kaiser Socal DHMO Benefit Summary
RIV 2025 Kaiser Norcal DHMO Chiro Benefit Summary
RIV 2025 Kaiser Norcal DHMO Benefit Summary
2024 Kaiser 1000 NorCal Disclosure Form Part 1
2024 Kaiser 1000 NorCal Summary of Benefits
Dental
Vision
Wellness
Health Savings Account
Life and AD&D Insurance
Life and AD&D Insurance Portability and Conversion Brochure
Life and AD&D Insurance Portability Election
Supplemental Life and AD&D Insurance
U.S. Employer-Paid Life and AD&D Insurance
Securian Basic life & AD&D coverage
Securian supplemental/voluntary life cost and coverage details here
Securian – Group Accidental Death and Dismemberment Insurance Policy
Securian Group Accidental Death and Dismemberment Insurance Policy- Certificate
Other Benefits
Required Notices
Blue Shield Illinois Consumer Coverage Disclosure
Children’s Health Insurance Program (CHIP)
Family and Medical Leave Act (FMLA)
Genetic Information Nondiscrimination Act (GINA)
Medicare Part D Creditable Coverage
Newborns’ and Mothers’ Health Protection Act
Patient Protection and Affordable Care Act Health Coverage Reminder
Rivian 401(k) Plan Summary Annual Report 2022
Rivian HIPAA Data Privacy Notice
Transparency in Coverage Machine-Readable Forms
Uniformed Services Employment and Reemployment Rights Act (USERRA) Coverage
