Wednesday, April 1, 2026

Health Care Documents

Health Care Forms
Health Care Forms
Retiree Health & Welfare Application
Pension Deduction Form
Dependent Removal Form
Caremark Fast Start Set up
HIPAA Form
HRA Reimbursement Form
Short Term Disability Form
Pension Deduction Approval Form
Beneficiary Designation Form
2024 Vital Information Form
2026 HIPPA Notice of Privacy Practices
Health Care Recent Mailings
Health Care Recent Mailings
Benny Prepaid Benefit Card Introduction and FAQs
COBRA Subsidy Application
Insurance Plan Changes 2023
Summary of Material Modifications - September 2023
Notice of Plan Changes - 2024
Plan Change: Initial Enrollment of New Dependents
Summary of Material Modification - April 2025
Notice of Pharmacy Benefits Manager (PBM) Change - 2025
Notice of Creditable Coverage - 2025
Health & Welfare Fund Seventh Amendment re Paydhealth
Life Insurance Increase for Actives and Retirees
Summary of Benefits and Coverage - 2026
Notice of Plan Changes - Coverage of Cologuard and Preventive Services
USPS Postmark Date Change Notice to Employers
2026 1095B Notice
Changes to HIPAA Notice of Privacy Practices to Comply with Federal Law
Health Care Documents / Summary Plan Description
Health Care Documents / Summary Plan Description
Anthem Member Disclosure Statement
Anthem FAQs
Health & Welfare Summary Plan Description
Summary of Benefits and Coverages
Summary of Benefits and Coverages
Summary of Benefits and Coverages - 2026