Monday, June 15, 2026

Health Care Documents

Health Care Amendments and Changes
Health Care Amendments and Changes
Amendment 1 - Self Pay / Out of Work List
SMM re: Amendment 1 - Self Pay / Out of Work List
Amendment 2 - Remove 2024 HIPAA Reproductive Privacy Rules
Amendment 3 - Beat It! Program
SMM re: Amendment 3 - Beat It! Program
Health Care Recent Mailings
Health Care Recent Mailings
Chiropractic Benefit
COBRA Rates
Non-Bargaining Rates
Retiree Self Payment Rates
Change in USPS Process
BAC 3 HW SAR 6/30/2025
2026 Active, Non Barg and Early Retiree SBCs and Annual Notices
2026 Kaiser Retiree SBC and Annual Notices
2026 UHC Annual Notices
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
Reciprocity Authorization Form (Home Local)
Reciprocity 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
Active - Kaiser HMO SBC 7/1/2026 - 6/30/2027
Active - Kaiser PPO SBC 7/1/2026 - 6/30/2027
Retiree - Kaiser HMO SBC 7/1/2026 - 6/30/2027
Retiree - Kaiser Senior Advantage HMO with Part D SBC 7/1/2026 - 6/30/2027
Vision - VSP SBC 7/1/2026 - 6/30/2026
Beat It! Welcome Flyer