Health Insurance Summary Plan Documents Updated On: Nov 318, 2022 Summary Plan Documents (SPD's) Please click on the links below to download. AETNA Premium Plan AETNA Premium Annual Notice of Changes AETNA Mid-Range Plan AETNA Mid-Range Annual Notice of Changes AETNA Medicare Plan (PPO) with Extended Service Area (ESA) & Aetna Medicare Rx Plan AETNA Non-Part D Supplemental Benefit CIGNA Point of Service Medical Benefits (NPOS) CIGNA NPOS Rider CIGNA Comprehensive Medical Benefits (COM) CIGNA COM Rider CIGNA Dental Preferred Provider (DPPO) CIGNA Dental Preferred Provider (Texas Only)