Health Benefits Documents
Health Benefits Agreement & Declaration of Trust
State Health Insurance Assistance Program Contact Listing
W-1 Summary Plan Description and Rules & Regulations
W-Plans for Medicare-Eligible Pensioners SPD and Rules & Regulations
Retiree Enrollment Form for W-1 Benefits - Contributing Employer Retiree Enrollment Form for W-1 Benefits - Non-Contributing Employer
P-Plan Summary Plan Description and Rules and Regulations
P-Plan - Summary of Material Modifications December 2017
P-Plan - Summary of Material Modifications December 2015
P-Plan Beneficiary Designation Form
P-Plan Claim Form
HIPAA Privacy Notice
State Health Insurance Assistance Program Contact Listing
W-1 Summary Plan Description and Rules & Regulations
W-Plans for Medicare-Eligible Pensioners SPD and Rules & Regulations
Retiree Enrollment Form for W-1 Benefits - Contributing Employer Retiree Enrollment Form for W-1 Benefits - Non-Contributing Employer
P-Plan Summary Plan Description and Rules and Regulations
P-Plan - Summary of Material Modifications December 2017
P-Plan - Summary of Material Modifications December 2015
P-Plan Beneficiary Designation Form
P-Plan Claim Form
HIPAA Privacy Notice