Wednesday, April 17, 2024

Health Care Documents


Recent Mailings
Recent Mailings
Notice of Privacy Practices for the IBEW Local 234 Health and Welfare Plan 03-2021
April 2021 - Summary of Material Modification
Anthem ABA Therapy Flyer 2021
Medicare Advantage Enrollment Guide
Medicare Advantage Card-Preview
Anthem Medicare Advantage Notice of change 2021
IBEW 234 Telehealth SMM
IBEW 234 SMM - Cares Act (expanded)
Medicare House Call Program First Visit Brochure
Live Health & COVID19 info - Summary of Material Modification
Anthem Live Health Flyer
IBEW 234 SAR 2021 Plan Year (to Mail 2023)
IBEW 234 Self Pay Rates Notice Eff. 11-1-2023
Salinas Valley Memorial Negotiations Notice July 2023
IBEW 234 Health Creditable Coverage Notice 2023
IBEW 234 HW Plan Annual Notice 2023
IBEW 234 Summary Annual Report 2022 Plan Year (to Mail 2024)
Forms
Forms
Authorization Agreement for Direct Payments
Authorization for Release of Protected Health Information
Coordination of Benefits Form
Enrollment Form
HRA (BennyCard) Claim Form
Retiree Healthcare Application
Sav-RX Mail Order Form
VSP Member Reimbursement Form
Summary Plan Description & Amendments
Summary Plan Description & Amendments
Summary Plan Description - January 2023
Summary of Benefits and Coverage
Summary of Benefits and Coverage
Summary of Benefits and Coverage (SBC) June 2023-24
Information
Information
Delta Dental Benefits Summary
Delta Dental Evidence of Coverage (EOC)
Grandfathered Health Plan Notice
Blue Cross/Blue Shield Global Core - Brochure
Medicare Advantage Plan Webinar eff. 3/1/21
Anthem Medicare Advantage Plan - LiveHealth Online
Anthem Medicare Advantage Plan - Sydney Health App
Anthem Medicare Advantage Plan - Virtual Health Programs
Anthem Medicare Advantage Plan - House Call Program
HRA Eligible Expenses  List Revised 10.2021
No Surprise Act Notice 2022
VSP Benefit Summary