Friday, May 16, 2025

Health Care Documents

Additional Information
Additional Information
How to Read Monthly Benefit Statement
Newsletters
Newsletters
Humana - SilverSneakers App 3 27 2020
Delta Dental - TeleDentistry March 23, 2020
Summary of Benefits and Coverages
Summary of Benefits and Coverages
2023 -  SBC Millmen, Residential Carpenters, Poured Wall
2023 - SBC Active Commercial and Millwrights
Health Care Documents / Summary Plan Description
Health Care Documents / Summary Plan Description
2023 Summary Plan Description - Active
2023 Summary Plan Description - Retirees
2019 Humana Summary of Benefits
2018 Humana Summary of Benefits
2016 Q & A
Express Scripts Mobile App Overview
Express Scripts Mobile App Buckslip
Delta Dental - Plan Benefits - Actives
Delta Dental - Plan Benefits - Retiree
DenCap - Dental Plan Benefits - Actives
DenCap - Dental Plan Benefits - Retiree
DenCap Locations
Americare Medical for Home Infusion Therapy, Nursing Care,Durable Medical Equipment and Supplies
Notices
Notices
Independence Administrator
Summary of Material Modifications - Walgreens 90 Day Refill
Employer Exchange Notice
Notice of Non Discrimination
Language Service Notice
Teledoc General Information - 2024
Teledoc - Behavioral Mental Health
Teledoc - Dermatology
Health Care Forms
Health Care Forms
Vital Information Form
HIPAA Cover Letter
HIPAA Privacy Notice
HIPAA PHI Form
Adult Child Dependent Form
MRA Reimbursement Form
Retiree OPT-OUT Form
Notice of Privacy Practices
Guidelines for Dependent Coverage
Instructions for Vital Information Form
Disability Application
Reciprocity Form
Reciprocity Form
Health & Welfare - Generic