Enrollment Forms & Plan Documents
Plan Notices
2026 Annual Health Plan Notices
2026 Notice of Privacy Practices – Updated 2.16.26
2026 CHIP Model Notice
2026 Medicare Part D Notice of Creditable Coverage
Medical
2026 Aetna Choice POS II SBC
2026 Aetna Choice POS II Benefit Summary
2026 Aetna Choice POS II Schedule of Benefits
2026 Aetna Choice POS II Summary Plan Description
2026 Aetna – HDHP SBC
2026 Aetna – HDHP Benefit Summary
2026 Aetna HDHP Schedule of Benefits
2026 Aetna HDHP Summary Plan Description
Apple Bank HSA Employee Application
Aetna Standard Plan – Drug Guide
Find a Medication for 2026 Aetna Standard Plan
Aetna’s Health Care Reform Preventive Drug List
Aetna’s Standard Plan HDHP-HSA Preventive Drug List
Specialty Medications
Medicare Coordination of Benefits FAQ
Dental
2026 PPO Certificate of Coverage
2026 PPO Low Plan Dental Benefit Summary
2026 PPO Low Schedule of Benefits
2026 PPO High Plan Dental Benefit Summary
2026 PPO High Schedule of Benefits
2026 DMO Dental Benefit Summary
DNTSPBK15GP-01 DMO Book
DNTSPBK15GPC-01 NC DMO Book
DNTSPSOB15GPC-01A NC DMO SOB
NJSPCSOB15GPD-01A NJ SD DMO SOB
NJSPCBK15GPD-01 NJ SD DMO Book
DNTSPBK15GP-01-TX TX DMO Book
DNTSPSOB15GP-01A-TX TX DMO SOB
Apple Bank (506) Dental 2024 5500 SAR
Vision
2026 Premier Vision Plan
2026 VSP Base Plan
Apple Bank (507) Vision 2024 SAR
Life & Disability
2026 Term Life/AD&D Policy
Term Life Policy_1.1.2026
Term Life Certificate_Class 1_FT Salaried hired on or before 10.1.89
Term Life Certificate_Class 2_FT Salaried 3+ years hired after 10.1.89
Term Life Certificate_Class 3_FT Salaried 2-3 years of service
Term Life Certificate_Class 4_FT Salaried less than 2 years
Term Life Certificate_Class 5_Permanant hourly hired on or before 10.1.89
Term Life Certificate_Class 6_Permanent hourly 3+ years hired after 10.1.89
Term Life Certificate_Class 7_Permanant hourly 2-3 years of service
Term Life Certificate_Class 8_Permanent hourly less than 2 years
Term Life Certificate_Class 9_Retirees who retired prior to 1.31.99 who were previously covered
2026 Long Term Disability Policy
Long Term Disability (LTD) Policy_1.1.2026
Leave of Absence Guide
DBL/PFL Lincoln Financial Leave Mgmt – How To File a Claim
Evidence of Insurability Instructions
Apple Bank (505) LTD & Life 4.1.24 – 3.31.25 SAR
Lincoln Financial – Critical Illness Benefit Summary
Lincoln Financial – Hospital Indemnity Benefit Summary
Lincoln Financial – Accident Benefit Summary
Employee Assistance Program
Pet Insurance
MetLife Pet Insurance FAQ
MetLife Pet Insurance Claims Process & Form .v6
Legal Plan
MetLife MetLaw Legal Plan Product Overview