Resources & Forms

There are a number of resources and forms to learn and understand the benefits provided by Kiewit to employees. If you are unable to locate the information you need, visit the FAQs or Contacts pages to help find the answers you need.

Benefits Summaries & Guides

2026 Kiewit Staff Benefits Summary

2026 Hawaii Benefits Summary

2026 International Benefits Summary

Open Enrollment ESS Instructions

Beneficiary Changes ESS Instructions

Family Status Change ESS Instructions

Health Savings Account Changes

New Hire/Rehire Enrollment

Supplemental Life & ADD Changes ESS Instructions

Benefits Forms

2026 Staff Benefit Enrollment/Change Form

2026 Hawaii Benefit Enrollment/Change Form

2026 International Benefit Enrollment/Change Form

UHC Medical Claim Form

RX Mail-in Order Form – UHC Optum

RX Physician Fax Order Form – Optum UHC

Family Planning & Support

Care Membership FAQ

Care Specialist FAQ

Maven Maternity & High-Risk Support Program

Maven Menopause & Midlife Support

Fertility Benefits Brochure

Financial Benefits

Fidelity Enrollment Steps

Fidelity NetBenefits Mobile App

Fidelity Website Registration Help

How to Add a Beneficiary

Health Care Resources

Delta Dental of Nebraska Benefit Summary

Make the Most of Your Dental Benefits

Two Networks. More Choices.

Delta Dental Mobile App

Dependent Care FSA

Fidelity Health Care FSA

2026 Prescription Drug List

2026 Preventive Prescription Drug List

Prescription Mail Order Brochure

Fertility Benefits Brochure

UHC Care Comparison Flyer

Calm Health Overview

Calm Health FAQ

Talkspace Overview

Teladoc Chronic Condition Management Plus

UHC Virtual Care

UHC Virtual Primary Care

VSP Safety Glasses

Eyeconic Overview

Vision Service Plan Evidence of Coverage

VSP Exclusive Discounts Program

VSP Kids Care Plan

Summary Plan Descriptions & Summary of Benefits and Coverage

Staff Short-term Disability Summary Plan Description

Long-term Disability Summary Plan Description

Staff Basic and Supplemental Life Summary Plan Description

Staff Basic and Supplemental AD&D Summary Plan Description

Amendment on Age Reduction Amount

Dental Summary Plan Description

Fidelity FSA Summary Plan Description

2026 Traditional Plan Summary of Benefits and Coverage

2026 Health Savings Plan Summary of Benefits and Coverage

2025 Staff Summary Plan Description

2026 Hawaii Summary of Benefits and Coverage

2025 Hawaii Summary Plan Description

2026 UHG International Summary of Benefits and Coverage

2025 UHG International Health Plan Certificate

Retirement Savings Plan Summary Plan Description

Vision Service Plan Evidence of Coverage

Accident Protection Plan Summary of Benefits

Accident Protection Plan Summary Plan Description

Critical Illness Plan Summary of Benefits

Critical Illness Plan Summary Plan Description

Hospital Indemnity Plan Summary of Benefits

Hospital Indemnity Plan Summary Plan Description

Legal Notices

SAR Peter Kiewit Sons’ Inc. Health and Welfare Plan

2025 Health Care Reform Notice

2025 CHIP Notice

2025 Staff COBRA Notice

Creditable Coverage Disclosure Notice

Staff HIPPA Notice of Privacy Practices

2025 Women’s Health and Cancer Rights Act Notice

2025 Staff SPD Supplement

UnitedHealthcare Nondiscrimination, Languages, and Accessibility Notice

Amendment on Age Reduction

Illinois Essential Health Benefits Comparison Chart – Staff HSA Plan

Illinois Essential Health Benefits Comparison Chart – Staff Traditional Plan

Wellness

Calm Health Overview

Calm Health App (Must register on UHC website before using app)

U.S. Employee Assistance Program Lyra Overview

Rally Engage Overview

Biometric Screening

Substance Use Helpline