Documents and forms

Documents and forms Required notices

Legally required documents and notices

Cafeteria Plan with Flexible Spending Arrangement
Children’s Health Insurance Plan (CHIP) Notice
Federal Women’s Health and Cancer Rights Act of 1998
Group Welfare Plan Summary Annual Report (2022)
Health Insurance Marketplace Notice
HIPAA Notice of Special Enrollment
HIPAA Privacy Notice
Medicare Part D Notice of Creditable Coverage (2023-24)
Rights & Responsibilities under the Family and Medical Leave Act
State notice – California: SF Health Care Accountability Ordinance (HCAO) Know Your Rights
State notice – California: SF Health Care Accountability Ordinance (HCAO) Waiver Form
State notice – California: Right to Request California Family Rights Act (CRFA) Leave
State notice – California: Rights and Obligations as a Pregnant Employee
State notice – California: SF Public Health Emergency Leave
State notice – California: Sick Leave Notice (Non-Exempt Employees)
State notice – Colorado: Family and Medical Leave Insurance Program (FAMLI)
State notice – Connecticut: Paid Leave Acts
State notice – Illinois: Consumer Coverage Disclosures
State notice – Illinois: Paid Leave
State notice – Massachusetts: Paid Family and Medical Leave
State notice – New Jersey: Family Leave Act
State notice – New Jersey: Law Against Discrimination
State notice – New York: Disability Benefits
State notice – New York: Paid Family Leave
State notice – New York: Paid Family Leave Opt Out Form
State notice – Oregon: Paid Leave Overview
State notice – Washington, D.C.: Paid Family Leave
State notice – Washington: Paid Family & Medical Leave