Forms & Guides

2022 Publicis Benefits Guide for Employees 2022 Publicis Benefits Guide for Freelancers Benefits and Payroll Packet for New U.S. Employees Publicis Benefits Summary 2021 Publicis Benefits Guide for Employees 2021 Publicis Administrative Information 2021 Publicis Benefits Enrollment Newsletter 2021 Summary Plan Description (SPD) for Publicis 401(k) Plan 2021 Summary Plan Description (SPD) for Publicis Dental Benefits 2021 Summary Plan Description (SPD) for Publicis Employee Assistance Program 2021 Summary Plan Description (SPD) for Publicis Legal 2021 Summary Plan Description (SPD) for Publicis Long-Term Disability 2021 Summary Plan Description (SPD) for Publicis Medical Benefits 2021 Summary Plan Description (SPD) for Publicis Short-Term Disability 2021 Summary Plan Description (SPD) for Publicis Life and Accidental Death & Dismemberment (AD&D) Insurance 2021 Summary Plan Description (SPD) for Publicis Vision Benefits 2021 Summary Plan Description (SPD) for Publicis Dependent Care FSA 2021 Summary Plan Description (SPD) for Publicis Health Care FSA 2019 Summary Annual Report (SAR) for Group Life Insurance and Publicis Voluntary AD&D Plan 2019 Summary Annual Report (SAR) for the Publicis 401(k) Plan 2019 Summary Annual Report (SAR) for PBC Group Business Travel Accident Plan 2019 Summary Annual Report (SAR) for PBC Group Disability 2019 Summary Annual Report (SAR) for PBC Group Legal Plan 2019 Summary Annual Report (SAR) for PBC Group Vision 2019 Tax Withholding Update for Michigan 2019 Tax Withholding Update for Washington 2021 CVS Caremark Rx Plan Summary 2021 Eligible Automatic Contribution Arrangement and Qualified Default Investment Alternative Notice Investment Options Brochure 2022 Notice of Creditable Coverage for Freelancers Publicis 401(k) Plan Enrollment Guide 2021 Summary of Benefits Coverage: Medical HSA Plan BCBSIL Anxiety Flyer BCBSIL Blue Access for Members™ (BAM) Website Flyer BCBSIL Behavioral Health Know Your Network Flyer BCBSIL Behavioral Health Wellbeing Management Flyer BCBSIL Better Emotional Health Flyer BCBSIL Blue Care Connection Flyer BCBSIL Depression Help Flyer BCBSIL Fitness Program Flyer BCBSIL Influenza Reminders BCBSIL Teen Emotional Health Flyer Timeline for Processing Benefits Benefits Orientation Video Benefits Orientation Video Transcript Beyond the Emergency Room Birth or Adoption Event Guide Blue 365 Discount Program bswift Registration Instructions Complete Your Medical History Coping with Community Violence COVID-19 Vaccines Deciding Where to Go for Medical Care That Saves You Money Delta Dental Coordination of Benefits Information Delta Dental Online Cost Estimator Delta Dental Web Mobile Resources Dependent to Age 26 Special Enrollment Notice Diabetes Management with CVS Diabetic Eyecare Program Eligible Automatic Contribution Arrangement Notice & Qualified Default Investment Alternative Notice Enrolling in Publicis Benefits Family Benefits | Overview Family Benefits | Elder Care Family Benefits | Parental Leave FAQ | Additional Family Support FAQ | Back-Up Care FAQ | College Coach Flexible Spending Account Quick Start Guide Freelancer FAQ Frequently Asked Questions on the New Tax Law for 2018 Gain or Loss of Coverage Event Guide Get Essential Medical Eyecare Services Get a Flu Vaccine with CVS Get the Most from Your Rx Get Your COVID-19 Vaccine Get Your Rx Delivered by Mail Getting Started With Teladoc Guide to Publicis 401(k) Plan Enhancements Health Advocate Finding a Balance Flyer Health Advocate Stress Management Flyer Health Insurance Marketplace Notice 2021 HSA Brochure 2021 HSA Contribution Limits HIPAA Notice of Privacy Practices How to Calculate Long-Term Disability Coverage How to file a claim for disability or leave of absence How to Process a Qualified Domestic Relations Order (QDRO) The Complete 2021 HSA Guidebook IRS Releases Notice 1036 with Updates to 2018 Income-Tax Withholding Tables Leave of Absence Manual Leave of Absence Manual California Limited Purpose FSA Quick Start Guide Manage Your Benefits Anytime, Anywhere with the PBC Mobile Apps! 2020-2021 Healthy Living Program Marriage Event Guide Massachusetts Paid Family Leave Notice Maternity Leave Checklist Medicare Tips for Retiring or Terminating Employees Mental Health Making a Difference Webinar Flyer Mercer Health Advantage Product Overview MetLife Legal Plans Product Booklet Change Address or Change Name Guide New York Paid Family Leave FAQs Notice on Benefit Deductions for Terminating Employees Notice to Employees Requesting Pregnancy, Family, Medical or Servicemember Leave NY Paid Family Leave Tax Withholding Update Overview of BCBS Benefits Value Advisors Overview of Employee Assistance Program Overview of Health Advocate Overview of LifeSpeak Educational Program Parental Adoption Leave Checklist Password Reset for ADP iPay Paycheck Inquiries and Replacement Checks Payroll Orientation Deck Publicis 401(k) Plan Notice to Interested Parties Publicis 401(k) Plan Beneficiary Designation Publicis 401(k) Plan 2020 Year End Newsletter Publicis 401(k) Plan Fees Publicis 401(k) Plan Loan Policy PBC Vendors COVID-19 FAQs Premium Assistance Under Medicaid and the Children’s Health Insurance Program (CHIP) Procedures Guide for Qualified Medical Child Support Order Notices PrudentRx Specialty Medication Copay Program PrudentRx Specialty Medication Copay Program FAQs Publicis Connection Life Events Matrix Publicis Benefits Q1 2021 Newsletter Publicis Benefits Q2 2021 Newsletter Publicis Benefits Q3 2021 Newsletter Publicis Benefits Q4 2021 Newsletter 2022 Notice of Creditable Coverage for Employees Registration Guide | Additional Family Support Registration Guide | Back-Up Care Registration Guide | College Coach Plan summary for supplemental life or AD&D insurance coverage FAQ about life or accidental death and dismemberment insurance Don’t forget to designate a beneficiary Roth 401(k) Factsheet Save Money with Generic Options Set Up Your Dependents Short Term Disability Leave Checklist So Many Reasons to Use Teladoc Specialty Medications at $0 copay with PrudentRx Teladoc Know How to Fight Colds and Flu Flyer Teladoc Mobile App The Hartford How to File a Claim Request Leave Flyer The Hartford How to File a Leave Video The Hartford Leave Management Services The Hartford Mobile Enhanced Portal Flyer Transition of medical care TRIP commuter and parking benefits Voluntary Benefits Auto Home Flyer Understanding Your Explanation of Benefits Visit the dentist online with Delta Dental’s Virtual Consult​​ 2021 Medical Plan Comparison Which Plan Fits You Best? 2021 Summary of Benefits Coverage (SBC): Standard PPO Plan 2021 Summary of Benefits Coverage (SBC): Premier PPO Plan 2021 Summary of Benefits Coverage (SBC): Medical HSA Plan 2022 Publicis Freelance Medical HSA Plan SBC 2022 Publicis Standard PPO Plan SBC 2022 Publicis Premier PPO Plan SBC 2022 Publicis Medical HSA Plan SBC 2021-2022 CVS Caremark Plan Summary: Standard PPO Plan 2021-2022 CVS Caremark Rx Plan Summary: Premier PPO Plan 2021-2022 CVS Caremark Rx Plan Summary: Medical HSA Plan 2021 CVS Caremark Advanced Control Specialty Formulary 2022 CVS Caremark Advanced Control Formulary 2022 CVS Caremark Advanced Control Specialty Formulary 2021 CVS Caremark Standard Control Formulary CVS Caremark Maintenance Drug List 2021-2022 Delta Dental Plan Summary 2021 New Hire Guide for U.S. Freelancers 2021 Pay Date Calendar 2021 Social Security Cap and Supplementary Wage Withholding Tax Rates 2021 Publicis Vision Coverage with VSP Electronically rollover your 401(k) from a prior company 2022 Vision Plan Summary Exclusive Member Extras Welcome, new BCBSIL member

Benefits and Payroll Packet for New U.S. Employees Application for Enrollment in Medicare Part B HealthEquity Trustee to Trustee Transfer form Benefits Orientation Acknowledgement Form BlueCard Worldwide International Claim Form BCBSIL Predetermination Form CVS Mail Service Order Form CVS Prescription Reimbursement Claim Form Delta Dental of New York Claim Form e-TIME Timesheet Historical Correction Form Health Insurance Claim Form (BCBSIL) Leave of Absence Request Form Medicare Request for Employment Information Form Prior E​mployment Questionnaire Publicis.Sapient Direct Deposit Form VSP Member Reimbursement Form HealthEquity Commuter Card Special Handling Form HealthEquity Dependent Care Claim Form HealthEquity Health Care Claim Form HealthEquity Substitute Receipt Form W-4 Form Paper form to rollover your 401(k) to the Publicis 401(k) Plan Participation in the Publicis 401(k) Plan Questionnaire​