Total Rewards

Okta Total Rewards Snapshot

New Hire Notices

California Employees: Disability Insurance (DI) and Paid Family Leave (PFL) only - Notice to Employees (DE 1858)
California Employees: Disability Insurance Provisions (DE 2515)
California Employees: Notice of Personal Acupuncturist or Personal Chiropractor
California Employees: Paid Family Leave (DE 2511)
California Employees: Predesignation of Personal Physician
California Employees: Your Worker’s Compensation Benefit
U.S. Employees (full-time and part-time): New Health Insurance Marketplace Coverage Options and Your Health Coverage (i.e., Exchange Notice)

Legal Notices

2024 Benefits Legal Notices
2024 CHIP Medicaid Notice
2024 Medicare Part D Creditable Coverage Notice
401(k) Summary Annual Report (SAR)
U.S. Employees: Newborns’ and Mothers’ Health Protection Act Notice
U.S. Employees: Notice of Coverage Options
Welfare Benefits Plan Summary Annual Report (SAR)
Welfare Plan Document
Welfare Summary Plan Description (SPD)

Healthcare Comparisons

Healthcare Comparison Chart 2024

Medical – Blue Shield HDHP + HSA Plan

Blue Shield HDHP + HSA 2024 Summary of Benefits
Blue Shield HDHP + HSA Plan: 2024 Benefit Booklet
Blue Shield HDHP + HSA: 2024 SBC

Medical – Blue Shield PPO Plan

Blue Shield PPO 2024 Summary of Benefits
Blue Shield PPO Plan: 2024 Benefit Booklet
Blue Shield PPO: 2024 SBC

Medical – Blue Shield EPO Plan

Blue Shield EPO 2024 Summary of Benefits
Blue Shield EPO Plan: 2024 Benefit Booklet
Blue Shield EPO: 2024 SBC

Medical – HMSA (HI employees only)

HMSA 2023/24 SBC

Medical – Kaiser California

Kaiser NorCal HDHP + HSA: 2024 SBC
Kaiser NorCal HMO: 2024 SBC
Kaiser SoCal HDHP + HSA: 2024 SBC
Kaiser SoCal HMO: 2024 SBC

Medical – Kaiser Georgia

Kaiser Georgia HDHP + HSA: 2024 SBC
Kaiser Georgia HMO: 2024 SBC

Medical – Kaiser Mid-Atlantic States

Kaiser MAS HDHP + HSA: 2024 SBC
Kaiser MAS HMO: 2024 SBC

Medical – Kaiser Washington

Kaiser Washington HDHP + HSA: 2024 Benefit Summary
Kaiser Washington HDHP + HSA: 2024 SBC
Kaiser Washington HMO: 2024 Benefit Summary
Kaiser Washington HMO: 2024 SBC

Medical—Benefits When Traveling

Blue Shield Travel Coverage
Kaiser Getting Care Away From Home
Kaiser More Care Options for Traveling Employees
Kaiser Travel Coverage
TravelConnect Emergency Assistance

Dental

2024 MetLife Dental Summary: Employees Residing in All Other States
2024 MetLife Dental Summary: Employees Residing in Texas or Louisiana
Hawaii Medical Services Association Dental Benefits

Vision

2024 VSP Vision Summary
Hawaii Medical Services Association Vision Benefits

Disability Coverage

Lincoln Disability Claim Form
Lincoln Long-Term Disability (LTD): 2024 Insurance Summary
Lincoln ShortTerm Disability (STD): 2024 Insurance Summary

Legal Assistance

Legal Assistance Plan Summary

Life/AD&D

Basic Life and AD&D: 2024 Benefit Summary
Lincoln Life and AD&D 2024 Insurance Certificate
Lincoln Life and AD&D 2024 Insurance Policy
Lincoln Life and AD&D Benefit Summary
Optional Life and AD&D: 2024 Benefit Summary

Pretax Spending Accounts and Commuter Benefits

Wex Commuter Benefits SPD

Carrot Fertility and Adoption Services

Adoption Assistance Plan Document
Fertility Program Plan Document
Program Health Reimbursement Arrangement (HRA) Plan Document
Surrogacy Program Plan Document