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Benefits
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Required Notices
Benefits
Domestic Partner Affidavit
Domestic Partnership Termination Affidavit
Qualifying Life Events
Rivian Flexible Benefits Plan SPD
Rivian Welfare Benefit Plan Summary of Material Modifications 2024
Rivian Welfare Benefits Plan Summary Annual Report 2022
Rivian Welfare Benefits Plan Wrap SPD
401(k) Plan
401(k) Plan SPD
Medical—Blue Shield
2023 Blue Shield HSA 1500 Summary Plan Description
2023 Blue Shield HSA 3500 Summary Plan Description
2023 Blue Shield HSA Intern Summary Plan Description
2023 Blue Shield PPO 500 Summary Plan Description
2024 BSC PPO 1000 Summary of Benefits
2024 BSC PPO HSA 1600 Summary of Benefits
2024 BSC PPO HSA 3500 Summary of Benefits
2024 BSC PPO HSA 6350 Intern Summary of Benefits
BSC Gender-Affirmation Surgery Policy
Medical—Kaiser Permanente Northern California
2024 Kaiser 1000 NorCal Disclosure Form Part 1
2024 Kaiser 1000 NorCal Summary of Benefits
Kaiser 1000 NorCal Disclosure Form Part 2
Kaiser NorCal Chiropractic and Acupuncture Benefits
Medical—Kaiser Permanente Southern California
2024 Kaiser 1000 SoCal Disclosure Form Part 1
2024 Kaiser 1000 SoCal Summary of Benefits
Kaiser 1000 SoCal Disclosure Form Part 2
Kaiser SoCal Chiropractic and Acupuncture Benefits
Dental
Delta Dental Plan Summary
Vision
EyeMed Summary of Benefits
VSP Enhanced Featured Frame Allowance
VSP Eyeconic Overview
VSP Online
VSP Out-of-Network Benefits
VSP Summary of Benefits
Wellness
Headspace Overview
Modern Health FAQ
Sibly Top 20 FAQs
Unum EAP Information
Health Savings Account
HealthEquity HSA Transfer Request Form
Kaiser Permanente HSA Transfer Request Form
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
Other Benefits
IDShield
LegalShield
Nationwide Avian and Exotic Pet Insurance
Nationwide My Pet Protection
Nationwide Pet Insurance 101
Required Notices
Blue Shield Illinois Consumer Coverage Disclosure
Children’s Health Insurance Program (CHIP)
COBRA Coverage
Family and Medical Leave Act (FMLA)
Genetic Information Nondiscrimination Act (GINA)
Medicare Part D Creditable Coverage
Michelle’s Law
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
Special Enrollment
Transparency in Coverage Machine-Readable Forms
Uniformed Services Employment and Reemployment Rights Act (USERRA) Coverage
Women’s Health and Cancer Rights Act (WHCRA)
