Documents and Forms
Your Health and Wellbeing
View medical, dental, vision, health savings account and prescription drug plan documents and forms.
Medical
2025 Annual Health and Welfare Notices
2025 Annual Notice Medicare Part D
Anthem HSA Core Benefit Booklet
Anthem HSA Plus Benefit Booklet
2025 Kaiser CDHP Northern California
Kaiser HDHP HSA – Northern California
2025 Kaiser CDHP – Southern California
Kaiser HDHP HSA – Southern California
Kaiser Member Emergency Claim Form
Kaiser Medical Care While Traveling
Hitachi Benefit Pool Annual Notices
Vision
Dental
Prescription Drug Benefits
Health Savings Account
Your Perks and Family
Family benefits and legal plan documents and forms.
Your Benefits
COBRA rates and tax form for legal dependents.
COBRA
Dependent Forms
Benefits Guide
Your Money
401(k), Deferred Comp, Basic Life, disability, flexible spending accounts and other financial benefit documents.
Disability
New York Disability Statement of Rights
New York Paid Family Life Statement of Rights
Hawaii Short Term Disability Plan
Hitachi CA Disability Email Notice
Hitachi CA Voluntary Disability Plan
Hitachi CA Voluntary Disability Summary of Coverage
Hitachi Short-Term Disability Plan
Hitachi Short-Term Disability Plan Summary Plan Description
Lincoln Financial Long-Term Disability Benefit Summary