Documents & Forms

All documents and forms can be accessed on HRConnect. You’ll also find summary plan descriptions, summaries of material modifications, carrier claim forms, and more.

Download the voluntary benefits programs flyer (voluntary benefits cover: critical illness, hospital indemnity, auto/home insurance, legal plan, identity protection, pet insurance, and other employee perks).

Download the 2023 Summary of Benefits and Coverage for the YNHHS Medical Plan.

Download the 2023 Summary of Benefits and Coverage for the High Deductible Plan with the HRA.

Download the 2023 Summary of Benefits and Coverage for the High Deductible Plan with the HSA.

Download the 2023 YNHHS Medical Plan SPD.

Download the Westerly HRA Medical Plan SPD.

Download the Westerly HSA Medical Plan SPD.

Download the 2023 Cigna Dental Plan SPD.