Friday, March 24, 2023

Health Care Documents

Health Care Recent Mailings
Health Care Recent Mailings
Medicare Eligible Notice
Claims - New Administration
Dental Claims - New Administration
Corona Virus Testing
Telehealth Visits
SMM for COVID 19 Matters
Retiree Self-Pay Rates
Self-Pay PPO - COVID-19 Test Coverage
SMM No Surprises Act
Short Hour Buy Up Option
Non Bargaining Coverage
Tile HW SMM Benefit Changes.2022
Retire Self Pay Rates 2022
2022 Open Enrollment - Actives
2022 Open Enrollment - Retirees
2022 Open Enrollment - NonBarg
Self-pay Option and Dental Benefit
Creditable Coverage Notice 2023
Health Care Forms
Health Care Forms
Address Verification Change Form
Authorization for Self-Payment Deduction-Draft
Disability Physician Statement Form
Disabled Dependent Application
Vacation Withdrawal Request Form-Draft
Vital Information Form
Enrollment Form - Actives
Reciprocity Authorization Form.Home
Reciprocity Authorization Form.Traveler
COBRA Extended ARPA
Health Care Documents / Summary Plan Description
Health Care Documents / Summary Plan Description
Health & Welfare SPD 2023
1st Amendment
Newsletters
Newsletters
Sav-Rx Mobile App Flyer
Summary of Benefits and Coverages
Summary of Benefits and Coverages
Kaiser SBC through 2/28/2023
PPO SBC through 6/30/2023