Tuesday, February 3, 2026

Pre-65 Retiree Health Document


Pre-65 Retiree Health  Forms
Pre-65 Retiree Health  Forms
Address Verification Change Form
Status Change Form
Vital Information Form
Summary Plan Description & Plan Document
Summary Plan Description & Plan Document
Retiree HW - Plan Document 2015
Summary Plan Description - Effective - 01 01 2024
Health Care Notices
Health Care Notices
COVID 19 Benefits
Participant Mailing - Surviving Spouse Questionairre
Notice of Privacy Practices
Notice of Non-Discrimination
Summary Annual Report
Self Pay Rates 2023
Non-Medicare 2023 Formulary List
Summary of Benefits and Coverage 2024
EAP Benefits - https://nwopp50.mysupportportal.com/ - PH: 888-881-5462
EAP Benefits - https://nwopp50.mysupportportal.com/ - PH: 888-881-5462
Counseling Benefits
Dental Benefits - www.deltadentalOH.com - PH: 800-524-0149
Dental Benefits - www.deltadentalOH.com - PH: 800-524-0149
Delta Dental - Benefit Summary
Scheduling Your Preventive Dental Visit
The Benefits of Staying in Network
Member Resources
Vision Benefit - www.eyemed.com - PH: 866-804-0982
Vision Benefit - www.eyemed.com - PH: 866-804-0982
EyeMed Special Offers
Hearing Discount with EyeMed
Vision Benefits
What's New at EyeMed
Enhanced Provider Search
EyeRewards Member Flyer
Know Before You Go Member Flyer
Mobile App and Text Alert Flyer
Mobile Chat and Online Options
Power of an Eye Exam Wellness Article
Retail Chains - Insight