Wednesday, February 4, 2026

Health Care Documents

Enrollment Forms
Enrollment Forms
Vital Information Form 2024
Instructions for Dependent Coverage
Authorization for Release of PHI
Instructions for Authorization of PHI
Cobra Continuation Coverage Rights Notice
Health Care Recent Mailings
Health Care Recent Mailings
Open Enrollment Notice of 2023
Notice of Creditable Coverage 2023
Summary Plan Document and Amendments
Summary Plan Document and Amendments
NEHP Summary Plan Document 2017
Summary Plan Amendment - Dependent Coverage
Summary Plan Amendment - COVID, HIPPA
Blue Cross Announcements
Blue Cross Announcements
Guide to BCBSM App Registration
PillarRx Discount Program Announcement
Diabetes Drug Pre-Authorization Announcement
Opioid Medication Pre-Authorization Announcement