Welfare Benefit Plan Wrap Summary Plan Description


In conjunction with the carrier certificates and other important plan documents (available below and denoted with an "*"), First Light Technologies, Inc. as the plan administrator, utilizes the “WRAP” document above to add (“wrap”) required ERISA language to these certificates.


file-icon-pdf[1].pngEmployee Welfare Benefits Premium Contributions 2020*

file-icon-pdf[1].pngPremium Conversion (POP) & Health Savings Account (HSA) Summary Plan Description*

MVP Health Plan & Health Reimbursement Account

file-icon-pdf[1].pngMVP VT Gold 3 HDHP Plus w/ Integrated HRA Summary of Benefits and Coverage

file-icon-pdf[1].pngMVP VT Plus HDHP Gold $2,700_$5,400 Benefit Summary*

file-icon-pdf[1].pngMVP HRA Summary Plan Description  

file-icon-pdf[1].pngMVP VT Gold 3 HDHP Gold $2,700  $5,400 Certificate of Coverage   

CBA Blue Dental/Vision Benefits

file-icon-pdf[1].pngCBA Summary Plan Description

file-icon-pdf[1].pngCBA Blue Dental Vision Benefit Summaries

Mutual of Omaha Short Term Disability Benefits

file-icon-pdf[1].pngShort Term Disability Benefits Summary

file-icon-pdf[1].pngShort Term Disability Benefits Booklet

file-icon-pdf[1].pngShort Term Disability Certificate Summary*

Mutual of Omaha Long Term Disability Benefits

file-icon-pdf[1].pngLong Term Disability Benefits Summary

file-icon-pdf[1].pngLong Term Disability Benefits Booklet

file-icon-pdf[1].pngLong Term Disability Certificate Summary*

Mutual of Omaha Life AD&D Benefits

file-icon-pdf[1].pngLife and AD&D Benefits Summary

file-icon-pdf[1].pngLife and AD&D Benefits Booklet

file-icon-pdf[1].pngLife and AD&D Certificate*

file-icon-pdf[1].pngDesignation of Beneficiary Form


If you wish to change your consent or receive documents in another way, please follow the below link to the Benefits Home Page where you can download/print the proper form that will be required to make these updates.

Employee Welfare Benefit Plans

*Please Note: The below Acknowledgment Form is for First Time Electronically Consenting Employees to obtain a T-Shirt, any duplicate entries will not entitle the Employee to multiple shirts.  Please follow the Instructions in the provided Memo to properly acknowledge your receipt of the 2019 Plan Year Benefit Documents.* 

Employee Group Benefits Documentation Acknowledgement

First Light Technologies, Inc. provides employees with important and required documentation regarding the Group Benefits offered under FIRST LIGHT TECHNOLOGIES, INC. WELFARE BENEFIT PLAN. We appreciate your support of First Light's effort to provide these documents electronically. Please complete the form below and you will receive a T-Shirt as a gesture of appreciation. Anyone requiring a printed copy of any or all documents may make a request to Human Resources and First Light will provide the printed documents within 48 hours.

This Selection should only be made if you have not already received a Benefits T-shirt previously