Monday, January 26, 2026

Health Care Documents

Health Care Recent Mailings
Health Care Recent Mailings
2026 Open Enrollment Annual Notifications
Summary Annual Report - 2024 Plan Year
Salem Health Letter to Participants
Notice of New Participant Benefit Website
Change in Plan Administrator
Health Care Forms
Health Care Forms
2026 Age 65+ Retiree with U65 Dependents
2026 Age 65+ Retiree without U65 Dependents
2026 COBRA
2026 Early Retiree
2026 LTD Medicare
2026 LTD Non-Medicare
2026 Dependent Eligibility
Teladoc 2026 Open Enrollment Flyer
Health Care Amendments and Changes
Health Care Amendments and Changes
No Surprises Act Notice 1-2022
Affidavit domestic partner 160628
Affidavit domestic partner children 160628
Termination domestic partnership 160628
Authorization for Release of Protected Health Information
Health Care Documents / Summary Plan Description
Health Care Documents / Summary Plan Description
2026 Active Open Enrollment Guide
H&W Active Plan SPD EFF 1-1-11
H&W Retiree SPD 1-1-11
Summary of Benefits and Coverages
Summary of Benefits and Coverages
2026 Regence Active SBC HH3
2026 Regence Active SBC PRF
2026 Regence Early Retiree SBC HH3
2026 Regence Early Retiree SBC PRF
2026 Regence HSA Benefit Summary - Active & Early Retiree
2026 Regence PPO Benefit Summary - Active
2026 Regence PPO Benefit Summary - Early Retiree
2026 Moda - Dental Benefit Summary
2026 VSP - Vision Benefit Summary