Forms And Documents

ENROLL
•   Dependent Audit Eligibility Document
•   Affidavit of Qualifying Domestic Partnership

HEALTH

MEDICAL PLAN SUMMARY BENEFITS COVERAGE (SBC)
•    2022 Aetna Consumer Choice Plan SBC
•    2022 Aetna EPO SBC
•    2022 Aetna PPO SBC
•    2022 Kaiser HMO SBC
•    2023 Aetna Consumer Choice Plan SBC
•    2023 Aetna EPO SBC
•    2023 Aetna PPO SBC
•    2023 Kaiser HMO SBC

PLAN DOCUMENTS AND LEGAL NOTICES 
•    2022 Summary Plan Document (SPD)
•    2021 Kaiser HMO Certificate of Coverage
•    Securian Life Insurance Certificate
•    Securian Accidental Death & Dismemberment Certificate
•    CIGNA Business Travel Accident Certificate
•    Reliance Long Term Disability Certificate
•    Notice of Privacy Practices
•    Market Exchange Notice
•    Illinois Consumer Coverage Disclosure
•    CCA and Transparency Rule Machine Readable Files

SPRING HEALTH
•    General Flyer
•    Custom Video Link

AETNA RESOURCES
•    Aetna Medical Claim Form
•    COVID Home Test Claim Form 2022
•    Aetna Concierge Flyer
•    Aetna Discounts Program Flyer
•    Aetna Informed Health Line Flyer
•    Aetna Preventive Care Flyer
•    Teladoc Flyer
•    Transgender and Non-Binary Resource Guide
•    Benefits & Support for LGBTQIA+ Employees and Families

PRESCRIPTIONS
•    Express Scripts Prescription Claim Form
•    Express Scripts Prescription Home Delivery Form
•    Prescription Formulary List
•    Sony Consumer Choice Plan Preventive Medications List

PROGYNY 
•    Progyny Overview 2023
•    Member Guide 2023
•    Adoption Assistance 
•    Egg Freezing
•    Family Planning - LGBTQ
•    Progyny Network
•    Patient Care Advocate
•    IVF Treatment
•    Reproductive Urology
•    Surrogacy Information

DENTAL 
•    2022 Delta Dental Plan Summary
•    2023 Delta Dental Plan Summary
•    Delta Dental Claim Form

VISION 
•    2022 VSP Vision Plan Summary
•    2023 VSP Vision Plan Summary
•    VSP Out-of-Network Claim Form

VOLUNTARY ACCIDENT & HOSPITAL INDEMNITY PLANS 
•    2023 Accident Enrollment Kit
•   2023 Hospital Indemnity Enrollment Kit
•    Rate Sheet
•    Portability Coverage Election Form

FINANCIAL

FSA/HSA
•    Aetna/Payflex FSA/Limited FSA Claim Form
•    Aetna/Payflex FSA Direct Deposit Form
•    Payflex Fee Schedule
•    HSA Rules of the Road Brochure
•    Payflex Commuter Benefit Flyer

METLIFE LEGAL
•    Metlife Legal Information

LIFE INSURANCE
•    Why Life Insurance Matters
•    What is Group Term Life Insurance
•    How Much Life Insurance Do I Need
•    Securian – selecting the right life insurance benefits
•    What is EOI
•    Continue Coverage

AURA IDENTITY PROTECTION
•    Plan Summary

FAMILY BENEFITS
•    Bright Horizons Back-up Care FAQ Bright Horizons Elder Care


ON-THE-LOT

OPEN ENROLLMENT
•    2022 Open Enrollment Guide
•    2023 Open Enrollment Guide
•    Quick Reference Guide

resources 1
resources 2

Contacts

Below is a complete listing of Sony Pictures’ benefit vendor phone numbers and websites. Download a copy to keep handy for questions about Sony Pictures Benefits. For any other questions, email SPE_Benefits@spe.sony.com

•    Vendor Contact List

Disclaimer:
This site provides summary information on certain Sony Pictures Entertainment benefits. The benefits are governed by the official plan documents (which may include underlying contracts). This site is not intended to amend or revise any official plan document or change the terms of any plan in any way. The site is believed to be accurate as of the publish date; however, it is subject to change without notice. In the event of any inconsistency between the plan documents and the information on this site, the terms of the plan documents, as interpreted by the plan administrator in its sole discretion, control in all cases. Sony Pictures reserves the right to amend, suspend, or terminate these benefits plans or programs at any time for any reason. This site is intended for employees and their dependents eligible for Sony Pictures’ benefits plans and programs for information purposes only and is neither an offer of any payment of benefits nor a guarantee of continued employment or payment of any future benefits. Nothing contained in this site alters the at-will nature of employment of Sony Pictures’ at-will employees. To the extent eligible employees are employed by Sony Pictures pursuant to a written employment agreement, nothing in this site alters any provisions therein, including, but not limited to, the duration, term, or termination provisions of the agreement.

A copy of the updated Summary Plan Description (SPD) for your Sony Pictures Entertainment Health and Welfare Benefits Plan (“Plan”) is posted in this site. This important document explains the terms and conditions of your Plan, including eligibility, coverage amounts and exclusions. Please share this with your family members who are also covered under this Plan. If you want a paper version of the SPD, please request one from SPE_Benefits@spe.sony.com There is no additional charge for it.

Links to outside websites are provided for informational purposes only. Sony Pictures does not specifically endorse the content.