Wednesday, May 12, 2021

Health Care Documents


Health Care Recent Mailings
Health Care Recent Mailings
Heat & Frost - Participant Letter
Summary of Material Modification Regarding Upcoming Plan Changes
Summary Annual Report for PYE 12-31-2018
Summary of Material Modification Regarding Amendment No 14- Exclusion of Gene Thereapy
Summary of Material Modification Regarding Amendment No.15-COVID-19 Anthem Changes and OptumRx Changes
SMM Regarding Dependent Enrollment- Maintenance Workers
SMM Regarding Freeze UHC CA HMO Option-Mechanics
SMM Regarding Rolling Open Enrollment-Mechanics
SMM Regarding Eligibility Extension Maintenance Workers
SMM Regarding Eligibility Extension Mechanics
Summary of Material Modifications Regarding Extending Eligibility
General Notice Regarding Extending of Deadlines During COVID-19 National Emergency
Summary of Material Modifications Regarding Termination of Extending Eligibility
Annual Women's Cancer Right Notice 2020
Creditable Coverage Notice 2020
Children's Health Insurance Program
Summary Annual Report for PYE 12-31-2019
SMM to Maintenance Workers Regarding Bank Hour Increase
SMM to Mechanics Regarding Bank Hour Increase
Health Care Forms
Health Care Forms
PHI-Authorization for Release of Protected Health Information 2016
Pension deduction authorization
Beneficiary form
Address change form
Temporary disability app
COB FORM Revised 2017
Enrollment Form
Health Care Amendments and Changes
Health Care Amendments and Changes
SPD Amendment no. 1 - HFTF - Maintenance - 11.2 - executed
SPD Amendment no. 1 - HFTF - Mechanics - 11.2 - executed
SPD Amendment no. 2 - HFTF - Mechanics - 11.3 - executed
SPD Amendment no. 3 - HFTF - Maintenance
SPD Amendment no. 3  - HFTF - Mechanics
SPD Amendment no. 4 - HFTF - Maintenance
SPD Amendment no. 4 - HFTF - Mechanics
SPD Amendment no. 5 - HFTF - Maintenance
SPD Amendment no. 5 - HFTF - Mechanics
SPD Amendment no. 6 - HFTF - Maintenance
SPD Amendment no. 6 - HFTF - Mechanics
SPD Amendment no. 7 - HFTF - Mechanics
SPD Amendment no. 8 - HFTF - Mechanics
SPD Amendment no. 9 - HFTF - Mechanics
SPD Amendment no. 10 - HFTF - Mechanics
Amendment No.7 to Maintenance Workers SPD
Amendment No.8 to Maintenance Workers SPD
Amendment No.11 to Mechanics Workers SPD
Amendment No.12 to Mechanics Workers SPD
Amendment No13 To Mechanics SPD
SPD Amendment No. 2- HFTF- Maintenance Workers
SPD Amendment No. 10- HFTF- Maintenance Workers
SPD Amendment No. 14- HFTF- Mechanics
SPD Amendment No. 15- HFTF- Mechanics
SPD Amendment No. 16- HFTF- Mechanics
SPD Amendment No. 17- HFTF- Mechanics
SPD Amendment No. 18- HFTF- Mechanics
SPD Amendment no. 11 - HFTF - Maintenance
SPD Amendment no. 19 - HFTF - Mechanics
SPD Amendment no. 20 - HFTF - Mechanics
SPD Amendment no. 12 - HFTF - Maintenance
SPD Amendment no. 21 - HFTF - Mechanics
SPD Amendment no. 22 - HFTF - Mechanics - 04.12.2021 - executed.pdf
SPD Amendment no. 13 - HFTF - Mechanics - 4.12.21 - executed.pdf
Health Care Documents / Summary Plan Description
Health Care Documents / Summary Plan Description
Heat & Frost Maintenance Workers  SPD - Spanish - FINAL [TF version]
Heat & Frost Mechanics SPD - Spanish - FINAL [TF version]
Maintenance Workers  SPD - eff January 2015
Mechanics SPD - eff January 2015
Summary of Benefits and Coverages
Summary of Benefits and Coverages
UHC Real Appeal Weight Loss Program Flier
UHC Virtual Visit Flier
Delta Dental FAQ Flyer 2020
Hearing Aid Discount Flyer
Delta Dental FAQ Flyer 2020-Spanish
Kaiser Benefit Summary 2021
2021 Kaiser SBC-Spanish
2021 Kaiser SBC
2021 UHC CA SBC-Spanish
2021 UHC CA SBC
2021 UHC NV SBC-Spanish
2021 UHC NV SBC
2021 Anthem Summary of Benefits Coverage
VSP Benefit Summary Effective 10-1-2020
Information on COVID-19
Information on COVID-19
Kaiser Flyer Regarding COVID-19 English
Kaiser Flyer Regarding COVID-19 Spanish
Anthem LiveHealth Online FAQs
Anthem LiveHealth Online How to Register
Anthem Flyer Regarding LiveHealth Online
Live Health Online FAQs-Spanish
Kaiser's Updated Telehealth Flyer English & Spanish
Kaiser Flyer How to Wear Mask