Saturday, April 4, 2026

Health Care Documents

Health Care Recent Mailings
Health Care Recent Mailings
Michigan's New Auto Insurance Law
Free OTC COVID-19 Tests - NonMedicare
Self Payment ACH Auto deductions for Early Retirees, Retirees, and Surviving Spouses
SBC 2026 & Non-Medicare Members vendor change
Health Care Forms
Health Care Forms
Actives - Weekly Disability Claim Form
All Participants - Authorization for Release of Protected Health Information
All Participants - Form 1095B - Sample
Enrollment Form for Healthcare Benefits
Summary Plan Description
Summary Plan Description
Summary Plan Description 06 01 2023
Governing Documents of the Plan
Governing Documents of the Plan
All Participants - Dependent Coverage Criteria
Annual HIPAA Privacy Practices Notice
Medical Benefit Information
Medical Benefit Information
COVID-19 (AmWell) Online Visit - FAQ Document
COVID-19 (AmWell) Online Visit - Benefit Overview
COVID-19 (AmWell) Online Visit - Member/Dependent Sign Up Details
CareFirst Union Blue Medical Benefits at Glance
Dental Benefit Information
Dental Benefit Information
Actives - Dental Benefit Summary
Dental Benefits - Delta Dental Brochure
Dental Benefits - How To Use Your Dental Benefits
Retirees - Dental Benefit Summary
Prescription Benefit Information
Prescription Benefit Information
Rx Michigan Glass  Glazing Welfare Fund - PPO Grid
Vision Benefit Information
Vision Benefit Information
Actives - Vision Benefit Summary
Retirees - Vision Benefit Summary
Weekly Disability Benefits
Weekly Disability Benefits
Actives - Weekly Disability Benefit Summary
Life Insurance
Life Insurance
Actives - Life Insurance Benefit Summary
Accidental Death and Dismemberment
Accidental Death and Dismemberment
Actives - Accidental Death & Dismemberment Benefit Summary
Auto Related Claims
Auto Related Claims
Michigan's New Auto Insurance Law