Thursday, May 15, 2025

Health Care Documents

Health Care Amendments and Changes
Health Care Amendments and Changes
Amendment 1 - Orthodontia Benefit & Contributions to HRA account
Amendment 2 - COVID 19 Screening & Testing
Amendment 3 - HRA PPE Changes
Amendment 4 - Mental Health Parity
Amendment 5 - HRA and Orthodontia
Amendment 6 - No Surprise Act
Amendment 7 - Retiree Coverage COBRA
Amendment 8 - Kaiser Chiropractic Benefit
Amendment 9 - Gene Therapy
Amendment 10 - Domestic Violence Subrogation
Amendment 11 - COVID19 Screening and Testing Extension
Amendment 12 - Ground Ambulance
Amendment 13 - COVID 19 Screening and Testing
Health Care Recent Mailings
Health Care Recent Mailings
Chiropractic Benefit
End of COVID 19 Extensions
COBRA Rates eff 11-1-2023
Self Pay Retiree Rates eff 11-1-2023 & 1-1-2024
HW SUMMARY ANNUAL REPORT (SAR) 2023 YE
Medicare Part D Notice 2024
Annual Notification of Women's Health and Cancer Rights Act of 1998
Summary of Benefits and Coverage - PPO
Summary of Benefits and Coverage - Retirees
Summary of Benefits and Coverage - Kaiser
Children's Health Insurance Program
Privacy Practices Notice
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
Health Care Documents / Summary Plan Description
Health Care Documents / Summary Plan Description
HW Summary Plan Description
Summary of Benefits and Coverages
Summary of Benefits and Coverages
Kaiser Summary of Benefits 2023-2024
Anthem Blue Cross PPO Summary of Benefits 2023-2024
VSP Member Benefit Summary 2023-2024
Q900 - SMM re ADD and dependent life insurance
Q900 - SMM re ADD and dependent life insurance
Q900 - SMM re ADD and dependent life insurance