Sunday, November 29, 2020

Health Care Documents


Health Care Forms
Health Care Forms
Address Verification Change Form
Vital Information and Coordination of Benefits (COB) Form
Application for Disability
HIPAA Disclosure Authorization
Instructions for Completing the HIPAA Disclosure Authorization
Orchard Rx Enrollment Form
Summary Material Modifications - Annual Notices
Summary Material Modifications - Annual Notices
2020 Summary Material Modifications & Annual Notices - PPO / Construction
2020 Summary Material Modifications & Annual Notices - HMO / Production
2020 Summary Material Modifications & Annual Notices - Medicare Retirees
Health Care Documents / Summary Plan Description / Summary of Benefits
Health Care Documents / Summary Plan Description / Summary of Benefits
Summary of Benefits - PPO/Construction 2021
Summary of Benefits - HMO/Production 2021
Summary of Benefits - PPO/Construction 2020
Summary of Benefits - HMO/Production 2020
Trustee Roster - 2017
Medicare Summary Plan Description 2014
Production Summary Plan Description 2014
Construction Summary Plan Description 2014
Health Care Participant Notices and Communications
Health Care Participant Notices and Communications
Medicare Retirees Med Advantage Provider Change Effective 1 1 2021
Non-Medicare PPO Early Retirees Provider Change Effective 1 1 2021
Eligibility and Self-Pay Rate Changes Due to COVID 19 - May 2020
Coronavirus - BCBSM FAQs  March 2020
Coronavirus - BCBSM Customer Letter March 2020
Coronavirus- Humana Press Release 2020
New Auto Insurance Law - Effective July 2020
PPO Benefit Change - CPAP Cleaning Device Eff 8 2019
BCN HMO Benefit Changes Effective 6 1 2019
Medicare Eligible Retirees - Lasik Benefit Eff 1 1 2019
Spousal Death Benefit - Active and Non-Medicare Eligible Retirees Eff 11 1 2018
Eligibility Change - Dependent Spouse 2017
Senior Coach Employee Assistance Program - 2017
Senior Coach Employee Assistance Program Flyer - 2017
Lasik Benefit Reinstated - 2017
COSTCO Hearing Aid Benefit - 2017
Trustee Roster 2017
Death Benefit Increases - 6 1 2016