Friday, May 16, 2025

Health Care Documents

Health Care Recent Mailings
Health Care Recent Mailings
New Pharmacy Benefit Manager
SAR 5.31.2024
Employee Benefits Security Administration Online Security Tips
2024 Annual Notices
2025 Annual Dependent Re-Enrollment Form
CHIP Notice
Health Care Forms
Health Care Forms
Short Term Disability Claim Form
Authorization for Release of PHI
Address Change Form
Retiree Health Deduction Form
Initial and Changes Enrollment Form
IPTT Health & Welfare Benefit Summary
Health Care Documents / Summary Plan Description
Health Care Documents / Summary Plan Description
Notice of Privacy Practices
Nondiscrimination Notice
Your Rights & Protection Against Surprise Billing
2024 5500 Health and Welfare
IDPT HW SPD 2024
Summary of Material Modifications Effective 1/1/2025
Summary of Material Modifications Regarding Hour Bank Freeze for Retirees who RTW
Summary of Benefits and Coverages
Summary of Benefits and Coverages
2025 Summary of Benefits and Coverage
SBC 01-2024
Humana 2025 Evidence of Coverage