Health Care & Benefits Division

Plan Information

Wrap Plan Documents

Medical Summary of Benefits and Coverage (SBC)

Summary of Benefits and Coverage (SBC) - Effective 1/1/2023 - 12/31/23
Summary of Benefits and Coverage (SBC) - Effective 1/1/22 - 12/31/22
 

Legal Notices

Legal Notices - Issued December 2023
Legal Notices - Issued December 2022

Medicare Prescription Drug Program Information

MedicareRx Evidence of Coverage - Effective 1/1/24
MedicareRx Summary of Benefits - Effective 1/1/24
MedicareRx Annual Notice of Changes - Effective 1/1/24

MedicareRx Evidence of Coverage - Effective 1/1/23 - 12/31/23
MedicareRx Summary of Benefits - Effective 1/1/23 - 12/31/23 
MedicareRx Annual Notice of Changes - Effective 1/1/23 - 12/31/23

MedicareRx Evidence of Coverage - Effective 1/1/22 - 12/31/22
MedicareRx Summary of Benefits - Effective 1/1/22 - 12/31/22
MedicareRx Annual Notice of Changes - Effective 1/1/22 - 12/31/22 
 

Life Insurance Certificates

Basic Life Insurance Certificate - Effective 1/1/23
Basic Life Insurance Certificate - Effective 1/1/22 - 12/31/22

Supplemental Life Insurance Certificate - Effective 1/1/23
Supplemental Life Insurance Certificate - Effective 1/1/22 - 12/31/22

Accidental Death and Dismemberment (AD&D) Certificate - Effective 1/1/23
Accidental Death and Dismemberment (AD&D) Certificate - Effective 1/1/22 - 12/31/22
 
Retiree Life Insurance Certificate - Effective 1/1/22

Long Term Disability (LTD) Certificate - Effective 1/1/22

  

Workers' Compensation Management Bureau Publications

  • Documents related to safety and return to work can be found on the WCMB website
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HIPAA Notice

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