The Nelson Trust

Home > Documents > Health Care

Health Care Documents

Health Care Recent Mailings

	Nelson Trust Benefits Guide 2027

	2025 Transition to New Pharmacy Provider

Newsletters

Health Care Forms

	Enrollment Form Revised 8.1.2024

	Enrollment Form - (Spanish) Updated 8.1.24

	Authorization Form for Release of PHI

	Premera PHI Non-Disclosure Request

	Accident and Sickness Form

	Premera Other Coverage Questionnaire Enrollment

	Beneficiary Form

	2025 Working Spouse Insurance Inquiry Form

	2025 Working Spouse Insurance Inquiry Form (Spanish)

Health Care Documents / Summary Plan Description

	Summary Plan Description

	Summary of Material Modification 2024

	Summary of Material Modification - Active Medical, Pharmacy, Life, Insurance Changes January 2022

	Summary of Material Modification - Pre-Retiree Medical, Pharmacy, Life, Insurance, Changes January 2022

	Summary of Material Modification - Active Medical, Pharmacy, Life Insurance Changes January 2021

	Summary of Material Modification - Retiree-Medical, Pharmacy, Life Insurance Changes January 2021

	Summary of Material Modification- Active- Medical, Pharmacy, Life Insurance Changes Janurary 2020

	Summary of Material Modification- Early Retirees- Medical and Pharmacy Changes January 2020

	Summary of Material Modifications- Medical, Dental, Pharmacy Plan Changes January 2018

	Summary of Material Modifications- Express Scripts July 2017

	Summary of Material Modifications- Medical Benefit Changes January 2014

	Uniform Glossary of Health Coverage and Medical Terms

	Notice Regarding Patient Protections Against Surprise Billing

	Benefit Booklet

	2025 Summary of Benefits & Coverage (SBC)

	2025 IAM Delta Dental Plan Summary

	2025 Nelson Trust Delta Dental Plan Summary

	VSP Member Benefit Summary

	MedImpact Preferred Drug List 7.1.2025

	2026 Summary of Benefits & Coverage (SBC)

	The Nelson Trust 2025 Active Participant and Non-Medicare Retiree Plan (Premera)

	VSP Evidence of Coverage 2026

	2026 Delta Dental Handbook-IAM

	2026 Delta Dental Handbook-The Nelson Trust

	2027 Summary of Benefits & Coverage (SBC)

Notices