Thursday, January 22, 2026

Health Care Documents

Health Care Recent Mailings
Health Care Recent Mailings
Summary of Benefits Coverage - Fence ONLY 2022
Summary of Benefits Coverage Retirees
Enhanced Website Registration
IW25 HRA Information
HRA 90 Merchant List 2023
HRA IIAS Merchant List 2023
Summary Annual Report 2023
Active Summary of Benefits & Coverage 2023
Creditable Coverage Notice 65+ 2023
2023 Medicare Retiree Open Enrollment
Health Care Forms
Health Care Forms
Active Member Initial Eligibility Package
Loss-of-Time Application
Change of Address Notice
Loss-of-Time Physicians Supplemental Application
HIPAA Spousal Authorization Form
IW25 Life Insurance and AD&D Beneficiary Form
Life Insurance and AD&D Enrollment-Beneficiary Form - Fence ONLY
Workers Comp Master Assignment
IW25 HRA Claim Form
Health Care Amendments and Changes
Health Care Amendments and Changes
COMING SOON
Health Care Documents / Summary Plan Description
Health Care Documents / Summary Plan Description
IW 25 HEALTH SUMMARY PLAN DESCRIPTION
2013 SPD HEALTH (W1274357) (4)
Health Plan
1st Amnd Health Plan
2nd Amnd Health Plan
3rd Amnd Health Plan
4th Amnd Health Plan
5th Amnd Health Plan
6th Amnd Health Plan
7th Amnd Health Plan
8th Amnd Health Plan
9th Amnd Health Plan
Modified Federal No Surprises Act EOB Model Language
BCBSM Telemedicine
MID Card
How to register at BCBSM.com
Delta Dental Teledentistry
HIPAA Privacy Practices
HIPAA Privacy Practices
HIPAA Privacy Practices Notice
Healthcare Informative Documents
Healthcare Informative Documents
BCBS Member Online Tools Guide
Blue Cross Nurse Line
Blue Cross Online Member Registration
Blue Cross Online Resources
Choice of Care
SAV-RX Patient Portal
Blue Vision Safety Glasses
Virtual Primary Care FAQ's
Virtual Primary Care - Get Started
Calm Health Member Flyer
SAV RX Benefit Management Guide
SAV RX Benefit Management Guide
SAV RX Benefit Management Guide