Saturday, January 31, 2026

Health Care Documents

Health Care Amendments and Changes
Health Care Amendments and Changes
COMING SOON
Health Care Recent Mailings
Health Care Recent Mailings
Chiropractic Benefit
End of COVID 19 Extensions
Summary Annual Report (SAR) PYE 6/30/2024
Women's Health and Cancer Rights Act of 1998
Children's Health Insurance Program Notice
Privacy Practices Notice
COBRA Rates
Non-Bargaining Rates
Retiree Self Payment Rates
Medicare Part D - Creditable Coverage Notice
SMM re: Amendment 1 - Self Pay Provision / Out of Work List
Health Care Forms
Health Care Forms
Mutual of Omaha- Death Claim Form
Secure Horizons Retiree Enrollment Form
Kaiser Enrollment Form
Authorization for Release of Protected Health Information
HRA Form
Reciprocity Authorization Form (Home Local)
Reicprocity Authorization Form (Traveler)
Consolidated Beneficiary Form
Health Care Enrollment Form
New Member Packet
Teladoc - Phone or Video Doctor Visits
Health Care Documents / Summary Plan Description
Health Care Documents / Summary Plan Description
Health & Welfare Summary Plan Description
Summary of Benefits and Coverages
Summary of Benefits and Coverages
Kaiser HMO Summary of Benefits and Coverage 2025-2026
Kaiser PPO Summary of Benefits and Coverage 2025-2025
Kasier Senior Advantage HMO Summary of Benefits and Coverage 2025-2026
UHC Senior Supplement Summary of Benefits and Coverage 2026
Q900 - SMM re ADD and dependent life insurance
Q900 - SMM re ADD and dependent life insurance
Q900 - SMM re ADD and dependent life insurance