Monday, April 6, 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 Privacy Notice
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