Friday, July 23, 2021

Health Care Documents

Health Care Recent Mailings
Health Care Recent Mailings
IBU Health Announcement COBRA Subsidy 1.2021
IBU COBRA Subsidy Notice 12.2020
IBU Open Enrollment Notice 2021
IBU Plan Teladoc Welcome Letter- June 2020
IBU HRA 2019 Annual Notices
Summary of Material Modifications (SMM) 11.1.2018
Kaiser Denver/Boulder Care Options Member Flier
Kaiser Coronavirus Communications 2020
Kaiser Hawaii Temporary Care Delivery Changes due to COVID-19
2020 COBRA Subsidized Premium Extension 9.1.2020
IBU Health COBRA Subisidy 6.1.2020
IBU Teladoc Benefit Announcement 6.1.2020
Kaiser Coronavirus Communication March 2020
HMSA Coronavirus News Release March 2020
Free Drive-up COVID-19 Testing in Anchorage Alaska
Kaiser Permanente Temporary Care Delivery Changes due to COVID-19, 3.20.2020
IBU Health Plan Update News Realase 3.20.2020
Kaiser- Your Care Your Way Packet 4.3.20
HMSA-Hawaii's COVID-19 Community-based Risk Model
HMSA COVID-19 Update 5.8.2020
HMSA News Release - Waives COVID19 related copayments
Kaiser Mental Health-Resources 6.2020
Kaiser Mindfulness and Self-Care Resources_4.28.2020
Kaiser Telehealth Options During-COVID-19
Kaiser Calm App for Self Care
Health Care Documents / Summary Plan Description
Health Care Documents / Summary Plan Description
Uniform Glossary of Health Coverage and Medical Terms
Moda Vaccine Flyer
Notice of Nondiscrimination
Privacy Notice
IBU NHBT PPO Plan Benefit Book- SPD 3.20.2020
Health Care Forms
Health Care Forms
Trust Plan Enrollment Form
Privacy-Authorization Form for Release of PHI
Beneficiary Form
Privacy-Request for Restrictions on Use or Disclosure of PHI
HMSA Enrollment form 2019
Medical Plan Claim Form
Dental Plan Claim Form
Vision Claim Form
Rx Postal Prescripion Services
RX Claim Form for a Compounded Prescription
RX Claim Form
Supplemental Claim Form
Transportation and Alternative Housing Claim Form
Domestic Partner Autopay Form
Domestic Partner Affidavit
Timeloss and Disability Waiver Form
Summary of Benefits and Coverages
Summary of Benefits and Coverages
2020 IBU Trust PPO SBC
2020 Kaiser N.CA SBC
2020 Kaiser Hawaii SBC
2020 Kaiser NW (OR) SBC
2021 Kaiser N.CA SBC
2021 Kaiser HI SBC
2021 Kaiser OR SBC
Plan Fillings and Documents
Plan Fillings and Documents
Health- 5500 for the plan year ending December 31, 2018
HRA- 5500 for the plan year ending December 31, 2018
IBU Health 5500 2019
IBU HRA 5500 2019