Health Care & Benefits Division

Plan Information

Wrap Plan Documents

Medical Summary of Benefits and Coverage (SBC)

Summary of Benefits and Coverage (SBC) - Effective 1/1/2025 - 12/31/2025
Summary of Benefits and Coverage (SBC) - Effective 1/1/2024 - 12/31/2024

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

Legal Notices

Legal Notices - Issued December 2024
Legal Notices - Issued October 2024
Legal Notices - Issued March 2024
Legal Notices - Issued December 2023

Medicare Prescription Drug Program Information

MedicareRx Summary of Benefits - Effective 1/1/2026
MedicareRx Summary of Benefits - Effective 1/1/2025 - 12/31/2025
MedicareRx Summary of Benefits - Effective 1/1/2024 - 12/31/2024
MedicareRx Summary of Benefits - Effective 1/1/2023 - 12/31/2023 
 
MedicareRx Annual Notice of Changes - Effective 1/1/2025 - 12/31/2025
MedicareRx Annual Notice of Changes - Effective 1/1/2024 - 12/31/2024
MedicareRx Annual Notice of Changes - Effective 1/1/2023 - 12/31/2023 
 
MedicareRx Evidence of Coverage - Effective 1/1/2026
MedicareRx Evidence of Coverage - Effective 1/1/2025 - 12/30/2025
MedicareRx Evidence of Coverage - Effective 1/1/2024 - 12/31/2024
MedicareRx Evidence of Coverage - Effective 1/1/2023 - 12/31/2023

 

Life Insurance Certificates

Basic Life Insurance Certificate - Effective 1/1/2023
Supplemental Life Insurance Certificate - Effective 1/1/2023
Accidental Death and Dismemberment (AD&D) Certificate - Effective 1/1/2023

 

Long Term Disability Insurance Certificate

Long Term Disability Insurance Certificate - Effective 1/1/2022

 

Workers' Compensation Management Bureau Publications

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