Notices & Plan Documents
The following are some of the required notices that must be distributed to enrollees in the group welfare, disability and life plans sponsored by Infoblox. Summary Plan Descriptions are available below, but if you prefer a printed copy, please contact benefits@Infoblox.com.
Required Notices
- Infoblox 2025 Annual Notices
- 2024 Annual Notices
- 2023 Summary Annual Report for Infoblox Health & Welfare Plan
- Cigna – Transparency in Coverage
This link 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.
Benefits Guides
Summary Plan Descriptions
- Basic ADD Certificate
- Basic Life Certificate
- Cigna 2025 Critical Illness Amendment
- Cigna 2025 Critical Illness Certificate Class
- Cigna 2025 DPPO Federal
- Cigna 2025 DPPO Certificate
- Cigna 2025 HSA Federal
- Cigna 2025 MA Certificate Federal
- Cigna 2024 MBA Trust Certificate
- Cigna 2024 MBA Trust Policy Amendment
- Cigna 2025 OAP Federal
- Cigna 2025 OAP Certificate
- Cigna 2025 HSA Certificate
- Cigna 2025 OAP MA Certificate
- Dental PPO Description
- Dental PPO Description Federal
- HSA Description
- HSA Federal Description
- Infoblox 2025 EOC HSA Qualified
- Kaiser 2025 Chiro HMO EOC
- Kaiser 2025 DHMO Disclosure Form
- Kaiser 2025 HMO EOC
- Kaiser 2025 HSA Qualified Chiro EOC
- Long Term Disability Certificate
- Massachusetts Certificate Rider
- Massachusetts Certificate Rider Federal
- Voluntary ADD Certificate
- Voluntary Life Certificate
- 2023 Kaiser HDHP Evidence of Coverage
- 2023 Kaiser HDHP Chiropractic Services Evidence of Coverage
Summaries of Benefits & Coverage
- Additional AD&D Summary
- Additional Term Life Summary
- Basic Life AD&D Summary
- Evidence of Insurability FAQ
- Life Services Tool Kit Flyer
- Long Term Disability Summary
- Portability Application
- Portability vs. Conversion FAQ
- Request for Conversion Materials
- Short Term Disability Summary
- Voluntary Accident & Injury Summary
- Voluntary Critical Illness Summary