Friday, May 22, 2026

Health Care Documents

Coverage Information and Mailings
Coverage Information and Mailings
Auto Reform - No Fault
2 28 2023 - Teladoc Termination
Importance of Preventative Services - 12 16 2022
Summary Material Modification - No Surprise Act 4
Summary Material Modification - No Surprise Act 3
Summary Material Modification - Dental & Vision Announcement
Ulliance - Employee Assistance Program
Ulliance - Website Information
Ulliance EAP Summary of Coverage
EyeMed - How to access & use your benefits
EyeMed FAQ's
Delta Summary of Dental Plan Benefits - Active Members
Delta Summary of Dental Plan Benefits - Retired Members
Delta Dental Standard QA - Retired Members
Delta Dental Standard QA - Active Members
Summary Material Modification - Weekly Disability Increase Eff 9/1/2024
Summary Material Modification - Weekly Disability Due to Surgery Eff 9/1/2024
Summary of Benefits and Coverages
Summary of Benefits and Coverages
2025 Summary of Benefits and Coverage - Enhanced
2025 Summary of Benefits and Coverages - Standard
Health Care Forms
Health Care Forms
New Member Introduction Letter
Vital Information Form
Adding Dependents To Your Coverage
COBRA General Notice
HIPAA - Notice of Privacy Practices
Instructions to complete Protected Health Information form
Protected Health Information form
Weekly Disability Application w/Instructions
Health Care Documents - Summary Plan Description
Health Care Documents - Summary Plan Description
2020 - Plan Document and SPD Combined