Tuesday, February 10, 2026

Health Care Documents

Additional Information
Additional Information
How to obtain Form 1095-B
Newsletters
Newsletters
HAP Prescription Drug Coverage
Delta Dental - TeleDentistry March 24, 2020
Health Care Recent Mailings
Health Care Recent Mailings
COMING SOON
Health Care Forms
Health Care Forms
COBRA Waiver
Dependent Enrollment Form - Abatement 207 Mailing
FTS Form
HIPPA Disclosure Authorization- PHI FORM
Vital Information Form
Notice of COBRA Continuation Coverage Rights Copy & Election Form
Reimbursement Form
Health Care Documents / Summary Plan Description
Health Care Documents / Summary Plan Description
Summary Plan Description HW & Vacation Eff: Jan. 2025
Summary of Benefits and Coverages
Summary of Benefits and Coverages
Summary of Benefits & Coverage 2025
Humana 2025 Summary of Benefits