Monday, June 17, 2019

Health Care Documents


Recent Mailings
Recent Mailings
Pre-Retirement Notification
2018 Creditable Coverage Notice
2018 Active Summary of Benefits & Coverage
2018 Material Handlers Summary of Benefits and Coverage
2018 Residental Summary of Benefits and Coverage
2018 Retiree Summary of Benefits and Coverage
2018 Kaiser Active Summary of Benefits and Coverage
2018 Kaiser Retiree Summary of Benefits and Coverage
Summary Annual Report - July 31, 2017 Plan Year End
Floor Covering Kaiser Rate Change (August 2018)
Glaziers Local 740 Kaiser Rate Change (August 2018)
Retiree Rate Change - July 2018
Floor Covering Kaiser Rate Change (2018)
Glaziers Local 740 Kaiser Rate Change (2018)
Dependent Verification Project
Alaska Flat Rate COBRA Rate Change Notice-Effective November 1, 2017
Alaska Hourly Rate COBRA Rate Change Notice - Effective November 1, 2017
Flat Rate COBRA Rate Change Notice - Effective November 1, 2017
Floor Covering Hourly Kaiser COBRA Rate Change Notice - Effective November 1, 2017
Glaziers Hourly Kaiser COBRA Rate Change Notice - Effective November 1, 2017
Hourly on Disability Extension COBRA Change Notice - Effective November 1, 2017
Hourly Self Funded COBRA Rate Change Notice - Effective November 1, 2017
Material Handlers COBRA Rate Change Notice - Effective November 1, 2017
Western Washington Painters COBRA Rate Change Notice - Effective November 1, 2017
Summary of Benefits & Coverage - Active
Summary of Benefits & Coverage - Material Handler
Summary of Benefits & Coverage - Residential Painting
Summary of Benefits & Coverage - Retiree
Test Strip Appeal Letter
OxyContin Appeal Letter
Floor Covering Kaiser Rate Change
Glaziers Local 740 Kaiser Rate Change
Glaziers Local 740 - Health Plan Change
Retiree Rate Change - July 2017
Summary Annual Report - July 31, 2016
SMM Material Handlers and SBC Dental
SMM DOMA Active Employee MH OOP Dental Deductible
SMM Network Change to Aetna
SMM PBM Change to Envision
SMM Rx Confirmation of Benefits and PAs
SMM Rx Final Changes
SMM MHPAEA clarifications
SMM Marriage-Family Counseling
SMM SPD OOP Maximums
SMM Dental Changes
SMM Dental and Benefits Changes
SMM Increased Hearing Aid Benefit
SMM Rx Changes (Opioid and ED)
SBC HMO Floor Covering Group
Retirees 2016 SBC DHMO Floor Covering Group
SBC Materials Handlers
SBC Residential Painting
SBC Retirees
SBC Standard
Forms
Forms
Vital Information Form
PHI Authorization for Release of Protected Health Information
Beneficiary Designation Form
Address Change Form
Temporary Total Disability Form
Enrollment Form
VSP Out of Network Reimbursement Form
Amendments and Changes
Amendments and Changes
Summary of Material Modifications - Changes to the Humana Medicare Advantage Prescription Drug Plan Effective January 1, 2019
Summary of Material Modifications - New Medicare Retiree and Medicare Dependents Health Plan Effective January 1, 2019
Summary of Material Modifications - Changes to Neurodevelopmental Disorder and Speech Therapy Benefits
Summary of Material Modifications -  Prescription Drug Changes - January 1, 2018
Summary of Material Modifications - Prescription Drug Changes & Dialysis Vendor - November 1, 2017
Summary of Material Modifications - Changes to Certain Eligibility Rules & Ceratin Benefits for Vision, Prescription Drug and Disability Coverages Related to COBRA - August 1, 2017
Summary of Material Modifications-Retail Pharmacy-90 Day Rx Supply - January 1, 2017
Documents / Summary Plan Description
Documents / Summary Plan Description
2018 Summary Plan Description
2018 Summary Plan Description (Spanish)