2023 Benefits Plan Information

Platinum Plus Plan
Platinum Plan Benefit Summary
Platinum Plan Summary of Benefits and Coverage
Pharmacy Standard Formulary (part 1)
Pharmacy Standard Formulary (part 2)

Middlebury Gold Plan
Gold Plan Benefit Summary
Gold Plan Summary of Benefits and Coverage
Pharmacy Value Formulary (part 1)
Pharmacy Value Formulary (part 2)

Panther Silver Plan
Panther Plan Benefit Summary
Panther Plan Summary of Benefits and Coverage
Pharmacy Value Formulary (part 1)
Pharmacy Value Formulary (part 2)

Cigna One Guide
Cigna One Guide Benefits Overview with Pharmacy Customer Flyer

General Cigna Information
Cigna Colon Cancer Newsletter
Cigna Over-the-Counter Test Kit Claim Form
Cigna Express Scripts Pharmacy Flyer
Cigna Medical Claim Form
Cigna MyPersonalChampion Gender Affirmation Program
Cigna Virtual Behavioral Health Care
Cigna Total Behavioral Health Customer Flyer
Cigna Preventative Care Customer Reference Guide

Required Employee Notifications
Health and Welfare Summary Plan Description
Summary Plan Description: Part 1
Summary Plan Description: Part 2
Summary Plan Description: Part 3
Summary Plan Description: Part 4
Summary Plan Description: Part 5
Summary Plan Description: Part 6
Summary Plan Description: Part 7
Summary Plan Description: Part 8
Summary Plan Description: Part 9