Saturday, January 24, 2026

Health Care Documents

Summary Plan Description
Summary Plan Description
L966 Health 2019 SPD
Health Care Forms
Health Care Forms
Fringe Benefit Enrollment Form
Dependent Enrollment Form
Summary of Benefits and Coverages
Summary of Benefits and Coverages
2022 SBC - Regular Plan
2022 SBC - MRS Plan
2023 SBC - MRS Plan
2023 SBC - Regular Plan
2024 SBC - Regular Plan
2024 SBC - MRS Plan
Summary Material Modification (SMM)
Summary Material Modification (SMM)
COVID-19 SMM - March 2020
2021 SMM - AETNA change
2021 SMM - Out of Pocket Increase - Regular Plan
2021 SMM - Out of Pocket Increase - MRS Plan
SMM - 12mo Eligibility Rule & OTC COVID Tests
Elixir COVID FAQs
SMM - No Surprises Act and End of COVID Changes
2024 SMM - Benefit and Providers Changes - Regular Plan
2024 SMM - Benefit and Providers Changes - MRS Plan
Participant Mailings
Participant Mailings
2020 Summary Annual Report
2021 Summary Annual Report
2022 Mastectomy and Medicare Notices
2022 Summary Annual Report