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  • Benefits 101
  • Part-Time Offerings
    • Health Benefits
      • Medical Plans
      • Medical Spending Accounts
      • Health Programs
    • Financial Benefits
      • SaveSmart 401(k)
      • Financial Guidance
    • Life Events
      • Time Away from PetSmart
      • Work or Life Changes
      • Leave of Absence and Accommodations
      • Ally
      • PetSmart Associate Assistance Foundation (PAAF)
    • Discounts & Offerings
      • Associate Discount
      • Tuition Assistance Program
      • PerkSpot
      • Smart Solutions
      • Pet Insurance
      • MetLife Discounts
  • Health Benefits
    • Medical Plans
    • Hawaii Medical
    • Medical Spending Accounts
    • Health Programs
    • Dental Plans
    • Vision Plan
  • Financial Benefits
    • SaveSmart 401(k)
    • Financial Guidance
    • Deferred Compensation Plan
  • Life Events
    • Time Away from PetSmart
    • Work or Life Changes
    • Growing Your Family
    • Life and Accident Insurance
    • Leave of Absence and Accommodations
    • Ally
    • PetSmart Associate Assistance Foundation (PAAF)
  • Discounts & Offerings
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      • Medical Plans
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      • Time Away from PetSmart
      • Work or Life Changes
      • Leave of Absence and Accommodations
      • Ally
      • PetSmart Associate Assistance Foundation (PAAF)
    • Discounts & Offerings
      • Associate Discount
      • Tuition Assistance Program
      • PerkSpot
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      • Pet Insurance
      • MetLife Discounts
  • Health Benefits
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    • Health Programs
    • Dental Plans
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  • Financial Benefits
    • SaveSmart 401(k)
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  • Life Events
    • Time Away from PetSmart
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    • Life and Accident Insurance
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  • HR Connect
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Forms & Resources

Weekly and Biweekly Cost Comparison Charts

  • 2021 Weekly Cost Chart
  • 2021 Biweekly Cost Chart

Medical

  • UnitedHealthcare Medical Claim Form
  • HIPAA Authorization Form

Hawaii

  • 2021 HMSA Summary of Benefits and Coverage
  • 2020 HMSA Essential Prescription Formulary
  • 2021 HMSA Prescription Drug Rider
  • 2021 HMSA Medical Guide to Benefits

Medical Spending Accounts

  • FSA Claim Form
  • HRA Claim Form
  • Dependent Care FSA Claim Form
  • Managing Your HSA: Helpful Online Tools

Prescription

  • CVS Caremark Mail Service Order Form
  • Caremark RX Claim Form
  • 2021 CVS Performance Drug List
  • 2020 ACA Preventive Services Drug List
  • 2020 HDHP Generics Preventive Drugs List

Dental

  • Cigna Dental Claim Form
  • Cigna Dental Care Patient Charge Schedule

Vision

  • VSP Member Reimbursement Form

Life and Accident Insurance

  • Beneficiary Change Form

SaveSmart 401(k)

  • 401(k) Rollover Form

Work or Life Changes

  • Full-Time Qualified Status Change Form
  • Part-Time Qualified Status Change Form
  • Beneficiary Change Form
  • 2021 Benefits at Separation

Adoption Assistance Program

  • Adoption Assistance Reimbursement Form

Tuition Assistance Program

  • Tuition Assistance Program Application

Legal Notices

  • Children’s Health Insurance Program (CHIP) Notice
  • HIPAA Notice
  • Initial COBRA Notice
  • Medicare Part D Notice
  • SmartChoices Summary Plan Description
  • Summary Annual Report

PetSmart Summary of Benefits and Coverage (SBC)

  • 2021 PPO1 SBC
  • 2021 PPO2 SBC
  • 2021 Bind SBC
  • 2021 HDHP SBC
  • 2021 HMSA SBC
  • 2021 Indemnity SBC

Health

  • Medical Plans
  • Hawaii Medical
  • Medical Spending Accounts
  • Health Programs
  • Dental Plans
  • Vision Plans

Financial

  • SaveSmart 401(k)
  • Financial Guidance
  • Deferred Compensation Plan

Life Events

  • Time Away from PetSmart
  • Work or Life Changes
  • Growing Your Family
  • Life and Accident Insurance
  • Leave of Absence and Accommodations
  • Ally (EAP)
  • Associate Assistance Foundation

Discounts

  • Associate Discount
  • Tuition Assistance Program
  • PerkSpot
  • Smart Solutions
  • Pet Insurance
  • MetLife Discounts
  • Cigna Discounts
PetSmart AWEsome Offerings

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©2021 PetSmart, Inc. All Rights Reserved.

This website serves as a guide and summary of your PetSmart benefits. It doesn’t replace or alter the official documentation that legally govern the terms and operations of PetSmart’s benefits plans, policies and procedures. If information on this site is different from the official documents for plans, policies and procedures the official documents always govern. This site isn’t an employment contract. Viewing this site or participating in any PetSmart benefit, policy or procedure doesn’t guarantee you a right to continued employment or otherwise affect your employment with PetSmart. If you’d like more detailed information on any PetSmart benefit, refer to the SmartChoices Summary Plan Description. You can request a paper copy mailed to you by contacting the Benefits team at 1-866-263-8411 or benefits@petsmart.com.