2024 Open Enrollment Booklets

2023 Open Enrollment Booklets

2023 Employee Open Enrollment Booklet 
2023 Retiree Open Enrollment Booklet 
2023 Legislator Open Enrollment Booklet 

2022 Open Enrollment Booklets

2022 Employee Open Enrollment Booklet 
2022 Retiree Open Enrollment Booklet 
2022 Legislator Open Enrollment Booklet 

Employee Benefit Books

Employee Benefit Book 2022
 

Retiree Benefit Books

Legislator Benefit Books

HR/Payroll Publications

Wrap Plan Documents

• Wrap Plan Document - Effective 1/1/2024
• Wrap Plan Document - Effective 1/1/2023 - 12/31/23
• Wrap Plan Document - Effective 1/01/2022 - 12/31/22
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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

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• Vision Summary of Benefits

• Vision Summary of Benefits - Effective 1/1/24 
• Vision Summary of Benefits - Effective 1/1/23 - 12/31/23 
• Routine Vision Exam Summary of Benefits - Effective 1/1/22 - 12/31/22
• Hardware Summary of Benefits - Effective 1/1/22 - 12/31/22

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Medicare Prescription Drug Program Information

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

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