Monday, February 2, 2026

Health Care Documents

Summary Plan Description and Summary of Material Modifications
Summary Plan Description and Summary of Material Modifications
SPD LDC Health and Welfare Trust Fund No. 2 – July 2017
SPD LDC Health and Welfare Trust Fund No. 2 - July 2017 - Spanish
SMM #1 Dental Change to Dentegra English and Spanish
SMM #2 Update to Trustees English and Spanish
SMM #3 Eligibility Rules Change-English
SMM #3 Eligibility Rules Change-Spanish
Summary of Benefits and Coverages
Summary of Benefits and Coverages
SBC HMO 5 SIG 06/01/2025-05/31/2026 ENGLISH
SBC HMO 5 SIG 06/01/2025-05/31/2026 SPANISH
SBC OOA PLAN 6 06/01/2025-05/31/2026 ENGLISH
SBC OOA PLAN 6 06/01/2025-05/31/2026 SPANISH
SBC DHMO PLUS 5 SIG 06/01/2025-05/31/2026 ENGLISH
SBC DHMO PLUS 5 SIG 06/01/2025-05/31/2026 SPANISH
SBC DHMO 10 SIG 06/01/2025-05/31/2026 ENGLISH
SBC DHMO 10 SIG 06/01/2025-05/31/2026 SPANISH
Health Care Notices
Health Care Notices
WHCRA Mastectomy Notice 2025 English
WHCRA Mastectomy Notice 2025 Spanish
Creditable Coverage Notice 2025 English
Creditable Coverage Notice 2025 Spanish
HIPAA Privacy Notice 3 Year English
HIPAA Privacy Notice 3 Year Spanish
Summary Annual Report 2025 PYE 09.30.2024 English
Summary Annual Report 2025 PYE 09.30.2024 Spanish