Wednesday, December 4, 2024

Employers 401(h) Retiree Medical Plan Documents

401(h) Retiree Health Plan Recent Mailings
401(h) Retiree Health Plan Recent Mailings
Teamsters-Local639-VSP Micro-Site Flier
2022 Tax Preparation Notice and SMM#2
CVS Caremark OTC COVID Test Paper Claim Form
401(h) 2022 Premium Notice
401(h) Retiree Health Plan Forms
401(h) Retiree Health Plan Forms
COMING SOON
401(h) Retiree Health Plan Amendments and Changes
401(h) Retiree Health Plan Amendments and Changes
SMM#1_EFF 1-1-2015 401h SPD First Amendment re Spousal coverage
SMM#2_EFF 1-1-2017 Teamsters Local 639 Retiree 401(h) Clarification of  2017 Composite Rate Notice
SMM#3_EFF 1-1-2017 Teamsters Local 639 Retiree 401(h) Multiplier and Rates Notice
SMM#4_EFF 1-1-2018 Teamsters Local 639 Retiree 401(h) New Rates
SMM#5_EFF 3-1-2018 Teamsters Local 639 Retiree 401(h) Opioid Notice
SMM#6_EFF 3-1-2020 Teamsters Local 639 Retiree 401(h) Dental and Vision Benefit Changes
SMM#7_EFF 3-18-2020 Teamsters Local 639 Retiree 401(h) COVID-19 Health Plan Notice
SMM#8_Eff 3-18-2020 Teamsters Local 639 401(h) SECOND COVID-19 Health Plan Notice
SMM#9_401(h) Extended Telehealth Visits
SMM#11_401(h)Eff 1-1-2022 Teamsters Local 639 Retiree 401(h) Plan Improvement and Changes
SMM#12 401(h)_OTC COVID19 Test Kit Notice
SMM#13_401(h) Mammograms_OTC COVID and TeleHealth
SMM#14_401(h) End of National Emergency
SMM#15_EFF 06-01-2024 Occupational Therapy Benefit
SMM#16_Eff. 01-01-2025 Specialty Drug Change
401(h) Retiree Health Plan Health Care Documents and Summary Plan Description
401(h) Retiree Health Plan Health Care Documents and Summary Plan Description
Teamsters Local 639 Employers Pension Retiree 401(h) SPD 2012
401(h) Retiree Health Plan Summary of Benefits and Coverages
401(h) Retiree Health Plan Summary of Benefits and Coverages
COMING SOON