Wednesday, April 21, 2021

Health Care Documents


COVID-19
COVID-19
COVID-19 Benefit and Furlough Update
COVID -19 Benefit Letter
COVID -19 Benefit SMM
Health Care Recent Mailings
Health Care Recent Mailings
Summary Annual Report - December 31, 2016
Summary Annual Report
October 2016 Rate Holiday
Notice of New Participant Benefit Website
Change in Plan Administrator
Health Care Forms
Health Care Forms
2019 Open Enrollment Guide
Early Retiree Enrollment Form 2016
Active Plan Enrollment Form 2016
Retiree Enrollment Form 2016
Health Care Amendments and Changes
Health Care Amendments and Changes
2016 Preferred $200, 90-70 Active SBC
2016 Preferred $250, 80-60 Early Retiree SBC
6. 2016 Dental Summary_IBEW 125 PGE
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
2021 Open Enrollment Guide
H&W Retiree SPD 1-1-11
H&W Active Plan SPD EFF 1-1-11