Supplemental Plan Information
Middlebury Health and Welfare Benefits Plan
Medical
Middlebury PPO Plan
- Pharmacy Standard Formulary 3-tier
- Pharmacy Standard Formulary 4-tier
- Pharmacy Standard Formulary 4-tier spec
- PPO Plan Summary
- PPO Benefits and Coverage
Middlebury Panther Plan
- Pharmacy Value Formulary 3-tier
- Pharmacy Value Formulary 4-tier
- Pharmacy Value Formulary 4-tier spec
- Panther Plan Summary
- Panther Plan Benefits and Coverage
General Cigna Information
- Cigna Benefit Recordings Middlebury College
- Cigna Presentation 2022
- Colon Cancer Screening
- Cigna Virtual Care Know Before You Go
- Preventive Care Customer Reference Guide
- Cigna Total Behavioral Health Customer Flyer
- Total PPO Customer Guide
- Home Delivery with Express Scripts Pharmacy
- Cigna Virtual Behavioral Health Care
- Omada +Cigna Open Enrollment Flyer
- Medical Claim Form
- Massage Therapy Services Form
- Covid OTC Medical Claim Form
- Mistaken HSA Distribution Form
- My Personal Champion Gender Affirmation Support Program
The link below leads to the machine-readable files that are made available in response to the federal Transparency in Coverage Rule and includes negotiated service rates and out-of-network allowed amounts between health plans and healthcare providers. The machine-readable files are formatted to allow researchers, regulators, and application developers to more easily access and analyze data.
https://www.cigna.com/legal/compliance/machine-readable-files
Required Employee Notifications
- Annual Notices 2021
- Exchange Health Insurance Marketplace Notice
- Exchange Health Insurance Marketplace Memo
- Health and Welfare Summary Plan Description
- Health and Welfare Summary Annual Report
Dental
Vision
Flexible Spending Accounts
Navia Resources
- What is a Medical FSA?
- What is a Dependent Care FSA?
- Using your Navia FSA Debit Card
- Navia - 6 Ways to File a Claim
- Using the MyNavia Mobile App
- Navia Dependent Care Claim Form
- Navia Medical Flexible Spending Claim Form
Health Savings Accounts
- Health Savings Overview video
- Health Equity HSA Member Brochure
- Health Equity HSA Myths Debunked
- Health Equity HSA Retirement Nest Egg
- Health Equity HSA Standard Flyer
Critical Illness and Accident Insurance
- Critical Illness UNUM (Watch a video)
- Accident Insurance UNUM (Watch a video)
- Critical Illness Insurance Overview 2022 (video)
- Accident Insurance Overview 2022 (video)