Sunday, June 7, 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
Summary Annual Report
Medicare Part D - Creditable Coverage Notice
Change in USPS Process
2026 Retiree Self Pay Rates
2026 Annual Notices
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
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