Health Care & Benefits Division

Plan Information

Wrap Plan Documents

Medical Summary of Benefits and Coverage (SBC)

Summary of Benefits and Coverage (SBC) - Effective 1/1/2024 - 12/31/24

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

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 1/1/25
MedicareRx Summary of Benefits - Effective 1/1/24 - 12/31/24
MedicareRx Summary of Benefits - Effective 1/1/23 - 12/31/23 
 
MedicareRx Annual Notice of Changes - Effective 1/1/25
MedicareRx Annual Notice of Changes - Effective 1/1/24 - 12/31/24
MedicareRx Annual Notice of Changes - Effective 1/1/23 - 12/31/23 
 
MedicareRx Evidence of Coverage - Effective 1/1/25 
MedicareRx Evidence of Coverage - Effective 1/1/24 - 12/31/24
MedicareRx Evidence of Coverage - Effective 1/1/23 - 12/31/23

 

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