Benefits

 
 

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Benefits

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Benefits

Commonly used Leidos benefit claim forms may be downloaded from this site by Leidos employees and their family members.

Summary Plan Description

The Leidos Benefits Summary Plan Descriptions web site is designed to provide employees and their families with important information about available benefit plans, including:

  • Life Events Guide
    These charts describe benefits and options that may be available when experiencing a major life event like getting married, having a new child, or becoming disabled.
  • Participating in the Plans
    This section provides information on eligibility, coverage, cost of coverage, and enrollment.
  • Medical Plans
    Leidos offers eligible employees comprehensive medical coverage through preferred provider organization (PPO) plans.
  • Dental Plans
    Leidos offers different types of dental plan options.

About Benefit Election Changes

Benefits elections are made by employees at the time of hire (or as they become eligible), and during the annual Open Enrollment period.

Employees can make changes to benefits for the current benefit plan year (outside of Open Enrollment), such as to add or drop a dependent, if they have experienced a qualified life event. Employees should contact Enterprise Shared Services HR at 855-5-LEIDOS, option 2 or esshrbsd@leidos.com, and a benefits specialist will explain the process based on what change is required.

Please note, Internal Revenue Service (IRS) regulations require that enrollment elections must remain in effect for the entire plan year unless you experience a qualified life event.

You have 31 days from the date of a life event to modify your elections without waiting until the next Open Enrollment period.


Download Benefits Claim Forms

Commonly used Leidos benefit claim forms may be downloaded from this site by Leidos employees and their family members.

  • Please note, the insured employee must sign all forms before they are submitted.
  • Questions about plan benefits should be directed to the plan provider (see web site links provided below) or the Leidos Enterprise Shared Services HR at 855-5-LEIDOS, option 2 or esshrbsd@leidos.com, and a benefits specialist will be able to assist you.
Plan Information and Documents

Medical

Use this form to file claims for medical benefits for the Leidos Self-Insured Plans ONLY (MedPlus, MedBasic, Catastrophic, and Out-of-Area). If you are enrolled in one of the Leidos self insured plans and live in AR, CA, DC, DE, IA, ID, IL, KS, MD, ME, MI, MN, MO, MT, ND,NE, NH, NJ, NV, NY, OK, OR, PA, SD, VA, VT, WI, WV, WY you will use the Aetna Medical claim form:

For contact or claims information, visit the Aetna web site.


If you are enrolled in one of the self insured plans and live in AK, AL, AZ, CO, CT, FL, GA, IN, KY, LA, MA, MS, NM, NC, OH, PR, RI, SC, TN, TX, UT, WA you will use the Anthem Blue Cross Claim form:

For contact or claims information, visit the Anthem web site.

HMO plans do not use a form.

Dental

Use this form to file a claim for dental benefits under the Leidos Dental PPO Plan ONLY (administered by Aetna). DMO plans, including the Aetna DMO plan, do not use this claim form.

For contact or claims information, visit the Aetna web site.

Flexible Spending Accounts

Use the appropriate form for Health Care and Dependent Care Flexible Spending Account reimbursement claims.

Health Care Reimbursements: For all employees enrolled in a Health Care Spending Account.

Dependent Care Reimbursements: For all employees enrolled in a dependent care spending account.

For contact or claims information, visit the WageWorks, Inc. web site.


Life Event/Qualified Status Change Events

Certain qualifying life events allow you to make changes to your benefits during the year, as long as you do so within 31 days of the life event. Examples of qualified life events include: