2025 Plan Document

PLAN DOCUMENT SUMMARY PLAN DESCRIPTION Benefits discussed in this document include: Medical/Prescription Drug Plan Options

Dental Plan Options

Vision Plan Options Employee Assistance Program (EAP) Legal Services/Identity Theft Protection Program – Voluntary Benefit

Basic Life Insurance and Short Term Disability Accidental Death and Dismemberment (AD&D) Insurance (STD) Insurance Supplemental Life and Accidental Death and Long Term Disability Dismemberment (AD&D) Insurance (LTD) Insurance Business Travel Flexible Spending Accounts – Accident/Commuter Travel Health and Dependent Care Accident Insurance (BTA) (FSA) Health and Wellness Center & Mesa Wellness COBRA 360 Program Pet Care Membership Discount Program – Voluntary Benefit

Amended, Restated and Effective January 1, 2025 2025 Plan Document FINAL 100124

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2025 Plan Document

Published on Oct 30, 2024

City of Mesa, AZ

The Plan Document-Summary Plan Description describes the wide variety of these benefit programs: Medical/Prescription Drug, Dental, Vision Care, Employee Assistance Program (EAP), Group Term Life Insurance, Accidental Death and Dismemberment Insurance, Short and Long-Term Disability Insurance, Business Travel Accident/Commuter Travel Accident Insurance, Flexible Spending Accounts and Health and Wellness Center programs. Also listed in the Quick Reference Chart section of this document is contact and enrollment information about voluntary benefit discount programs – Legal Services/Identity Theft Protection and United Pet Care Membership Network/Discounts - as well as contact and engagement information for the Mesa Wellness 360 program and the City of Mesa Health and Wellness Center for primary and preventive care medical services for eligible employees, retirees, and families.

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2025 Plan Document by City of Mesa, AZ - Issuu