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Cigna employee assistance program form 2026

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The document outlines the CIGNA Health Solutions Employee Assistance Program (EAP), which offers free professional assessment and referral services to employees and their family members. It emphasizes the confidentiality of EAP usage, the voluntary nature of participation, and the process for self-referrals and supervisor referrals. Additionally, it addresses potential costs for specialized services beyond the EAP and provides information on how to file complaints regarding EAP services.

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Click ‘Get Form’ to open it in the editor.
Begin by reviewing the 'Statement of Understanding' section. This provides essential information about the EAP services available to you and your family members.
In the 'Fees' section, note that sessions are offered at no cost. Ensure you understand your financial responsibilities for any specialized services needed.
Fill in your personal details where indicated, including your name and date, ensuring accuracy for proper processing.
Sign and date the form at the bottom to confirm that you have read and understood the provided information.

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