Monday, February 2, 2026

Health Care Documents

Health Fund - Recent Mailings
Health Fund - Recent Mailings
Summary Annual Report YE 2024
Mastectomy Notice 2025
Medicare Notice 2025
HIPAA Privacy Notice 2025
Health Care Forms
Health Care Forms
Enrollment Form
RX Reimbursement Form
Dental Claim Form
Retiree Coverage Election Form
Retiree Coverage Suspension Form
PHI Authorization Form
Health Care Documents / Summary Plan Description
Health Care Documents / Summary Plan Description
L24M SPD 2019
SMM # 01
SMM # 02
SMM # 03 - NetLease
SMM # 03 - Flex Link
SMM # 04
SMM # 05
SMM # 06
SMM # 07
SMM # 08
SMM # 09
SMM # 10
SMM # 11
SMM # 12
SMM # 13
SMM # 14
SMM # 15
SMM # 16
Summary of Benefits and Coverages
Summary of Benefits and Coverages
SBC 2025 - Active
SBC 2025 - HazMat
SBC 2025 - NOG