Saturday, August 8, 2020

Health Care Documents


Recent Mailings
Recent Mailings
Employee Assistance Program *NEW*
News Release COVID-19 4.13.2020
News Release COVID -19 3.20.2020
Medicare Rate Increase Effective June 1, 2020
Newsletter 1.13.2020
Teledoc FAQ
News Release COVID-19 3.30.2020
Health Care Forms
Health Care Forms
CVS Caremark Claim Form
Dental Claim Form
Early Retiree Enrollment Form
Retiree ACH Authorization Form
Active Enrollment Form
Direct Deposit Form HRA
PHI Authorization to Release
Address Change Form
HRA Claim Form
Health Care Amendments and Changes
Health Care Amendments and Changes
Amendment No. 2
Amendments 3 & 4
Amendment No. 5
Amendment No. 6
Amendment No. 7
Amendment No. 8
Amendment No. 9
Amendment No. 10
Health Care Documents / Summary Plan Description
Health Care Documents / Summary Plan Description
Active H&W SPD with Amendments No. 1-10
Retiree Summary Plan Description With Amendments - 2018
Active Plan Docuement - 2016
Retiree Plan Document - 2016
Retiree Educational Flyer
2020 SBC
2019 SBC
5500 Active Plan 2018
5500 Retiree Plan 2018
Womens Health 2019
Medicare Part D 2019
Childrens Health Insurance Program 2019
5500 2017 Retirees
5500 2018 Retirees