2021 employee contributions
Review the tables below to see the weekly employee contributions for Disney's 2021 medical, dental and vision plan options
Select your home state and enter your home ZIP code (if prompted) to view the benefits information specific to you.
The Benefits.Disney.com Web site ("Web site") is intended to provide you with information and resources to learn more about the total rewards available to active employees and Cast Members of The Walt Disney Company, its subsidiaries and affiliated companies (collectively "the Company").
By logging in to this site, you consent to electronic receipt of the terms and condition of use, and agree to be bound by the terms and conditions of use herein (the "Terms").
The Web site is the proprietary property of Fidelity Workplace Services, LLC, and you agree to use it only for your personal non-commercial use. You may not modify, copy, display or distribute material embodied in the Web site. The Web site is provided on an "as is," "as available," and "with all faults" basis, without warranty of any kind, express or implied, including, without limitation, warranties of merchantability, fitness for a particular use or purpose, title or non-infringement. The rights, exclusions and warranty disclaimers under these Terms operate to the benefit of the Company's subcontractors, licensors and vendors to the same extent that such provisions operate to the benefit of the Company.
The Web site should not be used or relied upon by you as a substitute for your independent research or for professional advice regarding your own specific situation. The accuracy of the information provided in the Web site is not guaranteed. Although we intend to provide accurate information, and every effort to do so is made, on occasion, an error does occur.
Although the Web site contains information about benefits and other reward programs at the Company, it does not attempt to explain all the details, provisions, limitations, restrictions and exclusions of the Plans.
The Walt Disney Company Enterprises 18 Corporation sponsors the Disney Signature Benefits Plan, BAMTECH Media Benefits Plan and the Company’s Retirement, Pension and Savings and Investment Plans, which are subject to the terms and conditions of the official plan documents. For other reward programs, official program policies will apply. In the event there is a conflict between the information you read on the Web site and the official plan documents/policies, the applicable plan documents and/or policies will control. The Company reserves the right to amend, suspend or terminate the entire plan or any part of one or more of these plans or benefits at any time for any reason.
Disney Nondiscrimination Notice
The Walt Disney Company (“Disney”) complies with applicable Federal civil rights laws and does not discriminate on the basis of race, color, national origin, age, disability, or sex. Disney does not exclude people or treat them differently because of race, color, national origin, age, disability, or sex.
Disney:
If you need these services, contact the Disney Benefits Center (DBC)
If you believe that Disney has failed to provide these services or discriminated in another way on the basis of race, color, national origin, age, disability, or sex, you can file a grievance with:
Eric Chaisson, Vice President,
Enterprise Benefits Civil Rights Coordinator
500 South Buena Vista Street
Burbank, CA 91521-7383
Phone: 1-818-558-2609
Fax: 1-818-558-2042
Email: Eric.Chaisson.-.Disney.Employee.Benefits@disney.com
You can file a grievance in person or by mail, fax, or email. If you need help filing a grievance, Eric Chaisson, Civil Rights Coordinator, is available to help you.
You can also file a civil rights complaint with the U.S. Department of Health and Human Services, Office for Civil Rights, electronically through the Office for Civil Rights Complaint Portal, available at https://ocrportal.hhs.gov/ocr/portal/lobby.jsf, or by mail or phone at:
U.S. Department of Health and Human Services
200 Independence Avenue, SW
Room 509F, HHH Building
Washington, D.C. 20201
1-800-368-1019, 1-800-537-7697 (TDD)
Complaint forms are available at http://www.hhs.gov/ocr/office/file/index.html
Español (Spanish)
ATENCIÓN: si habla español, tiene a su disposición servicios gratuitos de asistencia lingüística.
Llame al 1-800-354-3970 (TTY: 1-888-343-0860).
繁體中文 (Chinese)
注意：如果您使用繁體中文，您可以免費獲得語言援助服務。請致電
1-800-354-3970（TTY: 1-888-343-0860).
Français (French)
ATTENTION : Si vous parlez français, des services d'aide linguistique vous sont proposés gratuitement. Appelez le 1-800-354-3970 (ATS: 1-888-343-0860).
Kreyòl Ayisyen (French Creole)
ATANSYON: Si w pale Kreyòl Ayisyen, gen sèvis èd pou lang ki disponib gratis pou ou.
Rele 1-800-354-3970 (TTY: 1-888-343-0860).
Tagalog (Tagalog – Filipino)
PAUNAWA: Kung nagsasalita ka ng Tagalog, maaari kang gumamit ng mga serbisyo ng tulong sa wika nang walang bayad. Tumawag sa 1-800-354-3970 (TTY: 1-888-343-0860).
Tiếng Việt (Vietnamese)
CHÚ Ý: Nếu bạn nói Tiếng Việt, có các dịch vụ hỗ trợ ngôn ngữ miễn phí dành cho bạn.
Gọi số 1-800-354-3970 (TTY: 1-888-343-0860).
한국어 (Korean)
주의: 한국어를 사용하시는 경우, 언어 지원 서비스를 무료로 이용하실 수 있습니다.
1-800-354-3970 (TTY: 1-888-343-0860)번으로 전화해 주십시오.
Deutsch (German)
ACHTUNG: Wenn Sie Deutsch sprechen, stehen Ihnen kostenlos sprachliche Hilfsdienstleistungen zur Verfügung. Rufnummer: 1-800-354-3970 (TTY: 1-888-343-0860).
العربية (Arabic)
ملحوظة: إذا كنت تتحدث اذكر اللغة، فإن خدمات المساعدة اللغوية تتوافر لك بالمجان. اتصل برقم 1-888-343-0860 (رقم هاتف الصم والبكم: 1-800-354-3970)
Русский (Russian)
ВНИМАНИЕ: Если вы говорите на русском языке, то вам доступны бесплатные услуги перевода. Звоните 1-800-354-3970 (телетайп: 1-888-343-0860).
Italiano (Italian)
ATTENZIONE: In caso la lingua parlata sia l'italiano, sono disponibili servizi di assistenza linguistica gratuiti. Chiamare il numero 1-800-354-3970 (TTY: 1-888-343-0860).
Português (Portuguese)
ATENÇÃO: Se fala português, encontram-se disponíveis serviços linguísticos, grátis.
Ligue para 1-800-354-3970 (TTY: 1-888-343-0860).
हिंदी (Hindi)
ध्यान दें: यदि आप हिंदी बोलते हैं तो आपके लिए मुफ्त में भाषा सहायता सेवाएं उपलब्ध हैं।
1-800-354-3970 (TTY: 1-888-343-0860) पर कॉल करें।
Polski (Polish)
UWAGA: Jeżeli mówisz po polsku, możesz skorzystać z bezpłatnej pomocy językowej.
Zadzwoń pod numer 1-800-354-3970 (TTY: 1-888-343-0860).
日本語 (Japanese)
注意事項：日本語を話される場合、無料の言語支援をご利用いただけます。
1-800-354-3970（TTY:1-888-343-0860）まで、お電話にてご連絡ください。
Enrollment details
2021 Benefits Enrollment has ended. You will not be able to enroll or make any changes to your 2021 benefits unless you experience a qualified life event during the plan year. Remember you must re-enroll in the FSAs each year during Benefits Enrollment.
For additional information, review your Summary Plan Descriptions for the plan(s) at D Life │ My Benefits (Benefits.Disney.com or access sample SPDs in the Reference Library on the NetBenefits website.
The Company periodically audits its plan enrollment to make sure only eligible dependents are covered. If you have a change in family status during the year, call the Disney Benefits Center at 1-800-354-3970.
Federal law protects the privacy of your personal health information. For details about how your health information may be used and disclosed and how you can access that information, see the Privacy Notice or call the Disney Benefits Center at 1-800-354-3970 (1-508-787-9902 if you live outside the U.S.).
Forms
Looking for a specific form? If you don't see what you're looking for here, you can contact the vendor directly.
Wellness
•Preventive Screening Form
Medical
• Cigna Medical Claim Form
• Kaiser Emergency Claim Form
• HMSA Medical Claim Form
• Cigna International Claim Form
• Cigna BH OON Claim Form
• Allegiance Transition of Care/Continuity of Care Form
• ACA FAQ
Prescription Drug
•Consumer Choice Prescription List
• ACA Prescription List
• Express Scripts Mail Order RX Enrollment Form
Dental
• Dental Out of Network Claim Form
• Cigna International Claim Form
Vision
• Vision Out of Network Claim Form
• Flexible Spending Accounts (FSA)
•Optum Bank FSA-HRA Reimbursement Form
Life and Disability
•Disney Disability Claim Form
• Hawaii TDI Claim Form
You can find a SBC for the Disney medical options and a link to the Uniform of Health Coverage and Medical Terms on NetBenefits® using the steps below.
To view SBCs during Benefits Enrollment, while experiencing a qualified life event or if you are newly eligible:
Federal regulations require that we provide notice of the following:
Important Notice About Your Privacy
If you are a participant in the Signature Benefits Plan, this Privacy Notice gives you details about how your health information may be used and disclosed, and how you can get access to this information.
Non-Discrimination Notice
The Walt Disney Company complies with applicable Federal civil rights laws and does not discriminate on the basis of race, color, national origin, age, disability, or sex. Please click here for the full text of the notice as well as information on language assistance for those who do not speak English.
Wellness Program Notice
If you are enrolled in a Disney medical plan option, this Wellness Notice explains what personal information may be required in order to earn incentives under the Disney Healthy Pursuits Wellness Rewards Program, and how that information is used and protected.
Additional Notices
The links below are individual Summary Annual Reports for each different Disney benefit plan in which you may have been covered at any time during the 2019 plan year. (Not all may apply to you, depending on whether you were eligible for or enrolled in each of these plans.) These documents are summaries of the full annual reports that the Company filed for that year.
If you are unable to print and would like to request copies of any of these documents, please call 1-800-354-3970.
Health Care Exchange Information
Notice of Exchange Letter: Information about the health insurance marketplace specific to those with access to medical coverage through Disney.
Information About Health Coverage Offered By Your Employer: If you decide to complete an application for coverage in the Marketplace, you will be asked to provide this information.
Affordable Care Act FAQ: Answers to some of the common questions about the health insurance marketplace available for individuals to purchase health care coverage.
Pension Protection Act - Posting of Basic Plan and Actuarial Information from Annual Form 5500 Filing for 2019 Plan Year
The Pension Protection Act of 2006 requires administrators of defined benefit pension plans to post the basic plan and actuarial information which is part of the Plan's annual Form 5500 filing.
Pension Protection Act - Annual Funding Notices for 2020 Plan Year
The Pension Protection Act of 2006 requires administrators of defined benefit pension plans to provide an annual notice to participants which includes, among other things, the plan's funding percentage, a statement of the value of the plan's assets and liabilities and a description of how the plan's assets are invested.
*Disclaimer: This site is intended primarily for employees and Cast Members eligible for Disney's Signature Benefits. Access to resources and eligibility for specific benefits may vary depending on an employee or cast member's work status or job location. Eligibility and terms of the benefits are governed by the official plan document(s).
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