Summary Plan Description Cover Letter
Summary Plan Description
Summary of Material Modifications (SMM)
- SMM, May 2023
- SMM, April 2023
- SMM, November 2022
- SMM, October 2022
- SMM, January 2022
- SMM, August 2021
- SMM, February 2021
- SMM, November 2020
- SMM, August 2020
- SMM, December 2019
- SMM, October 2019
- SMM, December 2018
- SMM, September 2018
- SMM, June 2017
- SMM, February 2017
- SMM, June 2016
- SMM, May 2016
- SMM, February 2016
- SMM, November 2015
- SMM, August 2015
Health and Welfare Plan and Health Reimbursement Account Appeal Procedures
Active Subsidized Self-Payment Rules
Self-Payment Premium Rates
When On Travel Card
Blue Shield HMO Benefit Summary - Active
Blue Shield HMO Benefit Summary - Non-Medicare Retiree
Blue Shield PPO Benefit Summary - Active
Blue Shield PPO Benefit Summary - Medicare Retiree
Blue Shield PPO Benefit Summary - Non-Medicare Retiree
Delta Dental Benefit Summary
Kaiser Benefit Summary - Active
Kaiser Benefit Summary - Medicare Retiree
Kaiser Benefit Summary - Non-Medicare Retiree
VSP Benefit Summary - Active
VSP Benefit Summary - Retiree
Health Reimbursement Account (HRA)
Health Reimbursement Account (HRA) Claim Form
Health Reimbursement Account (HRA) Debit Card
Health Reimbursement Account (HRA) DOs and DON'Ts
