Sunday, October 18, 2026

Health Care Documents

Health Care Recent Mailings
Health Care Recent Mailings
Notice of Non-Discrimination
SMM: Short Hour Extension
SMM: Termination of Self Pay Extension
SMM: Death Benefits
SMM: Reinstatement of Self Pay Extension
SMM: Short Payment
SMM: Covid Vaccines
Change in USPS Process
2026 Retiree Self Pay Rates
2026 Annual Notices
Summary Annual Report
Medicare Part D - Creditable Coverage Notice
Health Care Forms
Health Care Forms
Reciprocity Authorization Form.Home
Reciprocity Authorization Form.Traveler
COBRA Extended ARPA
Address Verification Form
Authorization for Self-Payment Deduction
Disability Physician Statement Form
Enrollment Form - Actives
Vital Information Form
Disabled Dependent Information
Beneficiary Form
New Member Packet
Coordination of Benefits Form
Health Care Documents / Summary Plan Description
Health Care Documents / Summary Plan Description
Health & Welfare SPD 2023
1st Amendment - Gene Therapy
2nd Amendment - Reimbursement Rights
3rd Amendment - COVID Screening & Testing
4th Amendment - Self Payment Provision
5th Amendment - Ground Ambulance
6th Amendment - Dependent Dental OOP Max
7th Amendment - 10k ADD Death Benefit
8th Amendment - Extending Short Hour Provision
9th Amendment - HIPAA Reproductive Privacy
10th Amendment - Self Pay Extension
11th Amendment - Short Payment
12th Amendment - Vaccines
13th Amendment - HIPPA Reproductive Privacy
14th Amendment - Beat It! Coverage for Dependents
Newsletters
Newsletters
Sav-Rx Mobile App Flyer
Summary of Benefits and Coverages
Summary of Benefits and Coverages
Active - 2026 Open Enrollment
Non Bargaining - 2026 Open Enrollment
Retiree - 2026 Open Enrollment