2021-2022 Plan Documents

Comparison Charts

CVS Prescription Comparison Chart [58.1 KB]
Dental Plan Comparison Chart [56.5 KB]
Medical Plan Comparison Chart [133 KB]
Vision Plan Comparison Chart [57.3 KB]

Premiums

Paycheck Premiums [121 KB]
Prudential Supplemental Life and AD&D Rate Sheet [343 KB]

Summary of Benefits Coverage

Summary of Benefits Coverage NVIDIA HSA Plan [160 KB]
Summary of Benefits Coverage NVIDIA HSA Plus Plan [159 KB]
Summary of Benefits Coverage NVIDIA PPO Plan [657 KB]
Summary of Benefits Coverage Kaiser CA HMO [704 KB]
Summary of Benefits Coverage Kaiser CA HSA [901 KB]
Summary of Benefits Coverage Blue Choice Platinum PPO [657 KB]
Summary of Life and AD&D Benefits [126 KB]

Summary Plan Details

Summary Plan Description NVIDIA HSA Plan [1165 KB]
Summary Plan Description NVIDIA HSA Plus Plan [1.54 MB]
Summary Plan Description NVIDIA PPO Plan [1.53 MB]
Summary Plan Description Kaiser HMO [2286 KB]
Summary Plan Description Kaiser HSA [2332 KB]
Summary Plan Description Blue Choice Platinum [1.13 MB]
Summary Plan Description CVS Rx [349 KB]
Summary Plan Description Delta Dental PPO [301 KB]
Summary Plan Description VSP [298 KB]
Summary Plan Description Long Term Disability [168 KB]
Summary Plan Description Life and AD&D [228 KB]
Summary Plan Description 401(k) [1284 KB]
Summary Plan Description Short Term Disability [414 KB]
Summary Plan Description California Disability Plan [393 KB]