Wednesday, February 19, 2025

Health Care Documents


Health Fund - Recent Mailings
Health Fund - Recent Mailings
Medicare Notice 2024
Mastectomy Notice 2024
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
Summary of Benefits and Coverages
Summary of Benefits and Coverages
SBC 2024 - Active
SBC 2024 - HazMat
SBC 2024 - NOG