Friday, February 6, 2026

Health Care Documents

Health Care Recent Mailings
Health Care Recent Mailings
Website Registration
Benesys Now Mobile App
BeneSys Now Mobile App - How to Register
Summary Annual Report
2024 COBRA & Self-Pay Rates
Health Care Forms
Health Care Forms
Kaiser TeleHealth
Kaiser TeleHealth - Spanish
Address Change Form
Affidavit of Domestic Partnership
Auth For HC Pension Deductions
Dependent PHI Letter
Enrollment Form
Member PHI Letter
Retiree Healthcare Application
Temporary Total Disability Form (TTD)
Vital Information Form
Delta Care Enrolllment Form - HMH/1st Yr Apprentices
Health Care Amendments and Changes
Health Care Amendments and Changes
SMM for ABA Therapy effective January 1, 2023 and Hearing Aid effective June 1, 2023
SMM for Exclusion of Surrogate Parenting
SMM for Hearing Aids and ABA Therapy
SMM for Remaining SPD Parity Issues
Summary of Benefits and Coverages / Summary Plan Description
Summary of Benefits and Coverages / Summary Plan Description
2024 Kaiser SBC HFI High
2024 Kaiser SBC HFI Low
2023 Kaiser SBC HMH High
2024 Kaiser SBC HMH Low
2024 Kaiser SBC Non-Medicare Retiree High
2024 Kaiser SBC Non-Medicare Retiree Low
2024 Anthem SBC Active HMH
2024 Anthem SBC Active HFI
2024 VSP Benefits Summary
Newsletters
Newsletters
ASO and JAA Member Disclosure
Cold, Flu or COVID-19? - Know the Symptoms
Kaiser COVID-19 Vaccine & Booster Shot Appointments
Kaiser Covid-19 Care, Vaccines, Testing & Facts
Elixir - Maximize Pharmacy Benefits
Elixir - Over the Counter COVID Test Reimbursement
Elixir - Drive Thru Testing
Health Care Seminars
Health Care Seminars
Heat & Frost Health & Welfare Seminar Presentation 9/21/2024
Heat & Frost Pre-Retirement Seminar Presentation 9/21/2024
Empower Retirement Readiness Presentation 9/21/2024