Saturday, July 11, 2020

Health Care Documents


Recent Mailings
Recent Mailings
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
News Release COVID-19 3.30.2020
Health Care Forms
Health Care Forms
Enrollment Form
Address Change Form
Direct Deposit Form
CVS Caremark Claim Form
Dental Claim Form
Retiree Auto-Pay Authorization Form
Sick Leave Benefit Form
HRA Claim Form
Early Retiree Enrollment Form
PHI Forms
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