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Forms & Guides
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2022 Publicis Administrative Information
2022 Publicis Benefits Guide for Employees
2022 Publicis Benefits Guide for Freelancers
Benefits and Payroll Packet for New U.S. Employees
Publicis Benefits Summary
2022 Summary Plan Description (SPD) for Publicis 401(k) Plan
2022 Summary Plan Description (SPD) for Publicis Dental Plans
2022 Summary Plan Description (SPD) for Publicis Life and Accidental Death & Dismemberment (AD&D) Insurance
2022 Summary Plan Description (SPD) for Publicis Employee Assistance Program
2022 Summary Plan Description (SPD) for Publicis Legal
2022 Summary Plan Description (SPD) for Publicis Long-term Disability
2022 Summary Plan Description (SPD) for Publicis Short-term Disability
2022 Summary Plan Description (SPD) for Publicis Medical Plans
2022 Summary Plan Description (SPD) for Publicis Vision Plans
2022 Summary Plan Description (SPD) for Publicis Dependent Care FSA
2022 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
2020 Summary Annual Report (SAR) for the Publicis 401(k) Plan
2020 Summary Annual Report (SAR) for the Publicis Business Travel & Accident Insurance Plan
2020 Summary Annual Report (SAR) for the Publicis Disability Plan
2020 Summary Annual Report (SAR) for the Publicis Legal Services Plan
2020 Summary Annual Report (SAR) for the Publicis Life Insurance and Voluntary AD&D Plan
2020 Summary Annual Report (SAR) for the Publicis Vision Plan
2019 Tax Withholding Update for Michigan
2019 Tax Withholding Update for Washington
2022 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
2022 Publicis Freelance Medical HSA Plan SBC
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
Welcome, new BCBSIL member
Your digital BCBSIL member card
Timeline for Processing Benefits
Benefits Orientation Video
Beyond the Emergency Room
Birth or Adoption Event Guide
Blue 365 Discount Program
Complete Your Medical History
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
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 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
2022 HSA Brochure
2022 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
The Complete 2022 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!
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
New York Paid Family Leave FAQs
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
Publicis 401(k) Plan Notice to Interested Parties
Publicis 401(k) Plan Beneficiary Designation
Publicis 401(k) Plan Loan Policy
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 benefit changes by life event
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
2022 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?
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
2022 CVS Caremark Advanced Control Formulary
2022 CVS Caremark Advanced Control Specialty Formulary
CVS Caremark Maintenance Drug List
2021-2022 Delta Dental Plan Summary
2022 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
BrushSmart: A free oral wellness program
Toothpic: Remote check-ups with photos
#Name#
Benefits and Payroll Packet for New U.S. Employees
Application for Enrollment in Medicare Part B
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 Employment 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
Affidavit of a Common Law Marriage
Affidavit of a Domestic Partner
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