Saturday, February 14, 2026

Health Care Documents

Health Care Recent Mailings
Health Care Recent Mailings
SMM Kaiser CA New Kaiser Option 09-01-2019
SMM Kaiser WA Subsidy Change 09-01-2019
SMM Open Enrollment Clarification 07-01-2020
SAR PYE 03-31-2020
ACH Retiree Self-Payments Mailing 2020
Retiree Rate Change Effective 01/2022
SAR PYE 03-31-2022
WA Retiree Premium Letter July 2023
CA Retiree Premium Letter July 2023
Active CA Open Enrollment Package 2023
Active WA Open Enrollment Package 2023
PCSMT Retiree Rate Change Notice Effective January 2024
PCSMT 2023 Creditable Coverage Combined Notice
Active CA Open Enrollment Package 2024
Active WA Open Enrollment Package 2024
CA Retiree Premium Letter July 2024
WA Retiree Premium Letter July 2024
PCSMT Retiree Rate Change Notice Effective January 2025
PCSMT 2024 Creditable Coverage Combined Notice
Active CA Open Enrollment Package 2025
Active WA Open Enrollment Package 2025
CA Retiree Premium Letter July 2025
WA Retiree Premium Letter July 2025
PCSMT 2025 Creditable Coverage Combined Notice
PCMET Retiree Change Notice Effective January 2026 UHC term
PCMET CA Medicare retiree enrollment form
PCMET WA Medicare retiree enrollment form
Pacific Coast Shipyards Metal Trades - Summary Annual Report 2025
Health Care Forms
Health Care Forms
Enrollment Form CA
Enrollment Form OR
Enrollment Form WA
Self Pay Coverage Election Form
Address Change Form
Beneficiary Form
DHS CA Enrollment Form
COBRA ARP Premium Assistance Form
New Member Enrollment Package - WA
New Member Enrollment Package - CA
Health Care Amendments and Changes
Health Care Amendments and Changes
Amendment 1
Amendment 2
Health Care Documents / Summary Plan Description
Health Care Documents / Summary Plan Description
PCMET SPD 2016
Assurant EOC 05-31-2019
Dental Health Services EOC 07-01-2019
9-2019 - PCS - PID 8012 EOC HMO - Mid Year Contract 2
9-2019 - PCS - PID 8012 EOC HMO with Part D - Mid Year Contract 2
Pacific Coast Shipyards 2019 Certificate 0025900
Pacific Coast Shipyards 2019 Certificate 0026200
9-2019 - PCS - PID 8012 EOC HMO - Mid Year Contract 1
9-2019 - PCS - PID 8012 EOC HMO with Part D - Mid Year Contract 1
9-2019 - PCS - PID 8012 EOC HMO with Part D Medicare Secondary - Mid Year Contract 1
Schedule of Covered Services & Co-Pays
Dental Health Services - Evidence of Coverage
Kaiser of Oregon Sr. Advantage EOC
Standard Insurance - Group Dental Certificate & Summary Plan Description
Standard Insurance - Group Life Certificate & Summary Plan Description
Standard Insurance - Group Short Term Disability Certificate & Summary Plan Description
Sun Life Dental Combined EOC & Disclosure Form
UHC - MedicareRx (PDP Plan) EOC 2020
UHC - Group Medicare Advantage (HMO Plan) EOC 2020
Kaiser Permanente - kp.org Account Registration Guide
Kaiser Permanente - What to expect when you get your COVID-19 vaccine
Kaiser Permanente - Vaccine Overview
VSP Annual Notification - Grievance Process & Timely Access to Care 2021
No Surprises Act Notice 2022
VSP Annual CA 2022 Member Notification
VSP Evidence of Coverage and Disclosure Form
VSP Contract eff 7_1_2022
Kaiser Permanente Medical Advantage (HMO) 2022 Summary of Benefits
Kaiser Foundation Health Plan of Washington 2022 Contract 2022 Evidence of Coverage
Kaiser Foundation Health Plan of Washington 2022 Contract
VSP 2023 CA Complaints and Grievances Annual Member Notification
Newsletters
Newsletters
COMING SOON