Skip to content

Benefits

Domestic Partner Affidavit
Domestic Partnership Termination Affidavit
Qualifying Life Events
Unum – How to File a Claim
2027
Urban Sitter – 2027 Rivian Benefits Guide

Plan Documents

Rivian 401(k) Plan SPDQualified Disaster Relief Payments Plan
Rivian Welfare Benefit Plan SPDRivian Welfare Benefit Plan SMM 2024
Rivian Flexible Benefits Plan SPDRivian Welfare Benefit Plan SMM – Progyny
Rivian 401(k) Plan Summary Annual Report 2024Rivian Welfare Benefits Plan Summary Annual Report 2024
Rivian 401(k) Plan Summary Annual Report 2025Rivian Welfare Benefits Plan Summary Annual Report 2025

Medical—Anthem

2026
Anthem PPO 1000 Summary of Benefits and Coverage
Anthem HRA 3500 Sumary of Benefits and Coverage
Anthem HSA 1700 Summary of Benefits and Coverage
Anthem HSA 6350 Summary of Benefits and Coverage – Intern
Anthem PPO 1000 Summary Plan Description
Anthem HRA 3500 Summary Plan Description
Anthem HSA 1700 Summary Plan Description
Anthem HSA 6350 Summary Plan Description
2027
Anthem PPO 1000 Summary of Benefits and Coverage
Anthem HRA 3500 Sumary of Benefits and Coverage
Anthem HSA 1750 Summary of Benefits and Coverage
Anthem HSA 6350 Summary of Benefits and Coverage – Intern
Anthem PPO 1000 Summary Plan Description
Anthem HRA 3500 Summary Plan Description
Anthem HSA 1750 Summary Plan Description

Medical—Kaiser Permanente

2026
RIV 2026 Kaiser Norcal SBC
RIV 2026 Kaiser Norcal DHMO Chiro Benefit Summary
RIV 2026 Kaiser Norcal DHMO Benefit Summary
RIV 2026 Kaiser Socal SBC
RIV 2026 Kaiser Socal DHMO Chiro Benefit Summary
RIV 2026 Kaiser Socal DHMO Benefit Summary
2027
RIV 2027 Kaiser NCA SBC
RIV 2027 Kaiser NCA DHMO Benefit Summary
RIV 2027 Kaiser NCA DHMO Chiro Benefit Summary
RIV 2027 Kaiser SCA SBC
RIV 2027 Kaiser SCA DHMO Benefit Summary
RIV 2027 Kaiser SCA DHMO Chiro Benefit Summary

Dental

2026
RIV 2026 Delta Dental PPO Benefit Summary
Delta Dental Plan Summary
Privacy Enrollee Notice
2027
2027 RIV DD Dental Benefit Summary
Delta Dental Plan Summary
Privacy Enrollee Notice

Vision

2026
RIV 2026 Eyemed Benefit SummaryVSP Enhanced Featured Frame Allowance
RIV 2026 VSP Benefit SummaryVSP Eyeconic Overview
VSP Online
VSP Out-of-Network Benefits
VSP Summary of Benefits
2027
RIV EyeMed 2027 Benefit SummaryVSP Enhanced Featured Frame Allowance
RIV VSP 2027 Benefit SummaryVSP Eyeconic Overview
VSP Online
VSP Out-of-Network Benefits

Health Savings Account

2026
HealthEquity HSA Transfer Request Form
2027
Your Guide to Understanding HSAs
Qualified HSA Medical Expenses
Investing in Your Fidelity Health Savings Account

Life and AD&D Insurance

2026
Securian Life and AD&D Insurance Plan SummarySecurian Group Accidental Death and Dismemberment Insurance Policy
Securian Employee Group Term Life Certificate of InsuranceSecurian Group Accidental Death and Dismemberment Insurance Policy Certificate
Securian Group Term Life Insurance Policy and Amendment #1

Flexible Spending & Commuter Account

2027
Dependent Care FSA Brochure
Healthcare FSA Brochure
Limited Purpose FSA Brochure
Commuter Brochure
FSA Qualifying Expenses

Voluntary Benefits

2027
Unum Accident Insurance – 2027Unum Hospital Insurance – 2027
Unum Critical Illness Insurance – 2027RIV 2027 Hospital Indemnity Certificate

Additional Medical Benefits

2026
Carrum Health Open Enrollment FlyerProgyny HRA SBC (Kaiser)
Progyny Member GuideRivian Adoption & Surrogacy Assistance Program
2027
Carrum Health Open Enrollment Flyer
WIN Fertility Coverage FAQ

Employee Assistance Program (EAP)

2027
2027 Anthem EAP Summary of Services
2027 Anthem EAP Updates

Required Notices

Children’s Health Insurance Program (CHIP)Rivian HIPAA Data Privacy Notice
COBRA CoverageSpecial Enrollment
Family and Medical Leave Act (FMLA)Transparency in Coverage Machine-Readable Forms
Genetic Information Nondiscrimination Act (GINA)Uniformed Services Employment and Reemployment Rights Act (USERRA) Coverage
Medicare Part D Creditable CoverageWomen’s Health and Cancer Rights Act (WHCRA)
Michelle’s LawNo Surprises Act Notice
Newborns’ and Mothers’ Health Protection ActUnum Colorado FAMLI Program Notice – English
Patient Protection and Affordable Care Act Health Coverage ReminderUnum Colorado FAMLI Program Notice – Espanol
2026 San Francisco HCSO Poster