Benefits Book
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
2021 Open Enrollment Booklets
2021 Employee Open Enrollment Booklet
2021 Retiree Open Enrollment Booklet
2021 Legislator Open Enrollment Booklet
Employee Benefit Books
Retiree Benefit Books
Legislator Benefit Books
Plan Information
Wrap Plan Documents
- Wrap Plan Document - Effective 1/1/2023
- Wrap Plan Document - Effective 1/01/2022 - 12/31/22
- Wrap Plan Document - Effective 1/01/2019 - 12/31/2021
Medical Summary of Benefits and Coverage (SBC)
Summary of Benefits and Coverage (SBC) - Effective 1/1/2023Summary of Benefits and Coverage (SBC) - Effective 1/1/22 - 12/31/22
Summary of Benefits and Coverage (SBC) - Effective 1/1/21 - 12/31/21
Summary of Benefits and Coverage (SBC) - Effective 1/1/20 - 12/31/20
Legal Notices
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Vision Summary of Benefits
- VSP Vision Care Summary of Benefits - Effective 1/1/23
- Cigna Vision Routine Vision Exam Summary of Benefits - Effective 1/1/22 - 12/31/22
- Cigna Vision Hardware Summary of Benefits - Effective 1/1/22 - 12/31/22
- Cigna Vision Routine Vision Exam Summary of Benefits - Effective 1/1/21 - 12/31/21
- Cigna Vision Hardware Summary of Benefits - Effective 1/1/21 - 12/31/21
- Cigna Vision Routine Vision Exam Summary of Benefits - Effective 1/1/20-12/31/20
- Cigna Vision Hardware Summary of Benefits - Effective 1/1/20-12/31/20
Medicare Prescription Drug Program Information
Navitus MedicareRx Evidence of Coverage - Effective 1/1/23
Navitus MedicareRx Summary of Benefits - Effective 1/1/23
Navitus MedicareRx Annual Notice of Changes - Effective 1/1/23
Navitus MedicareRx Evidence of Coverage - Effective 1/1/22 - 12/31/22
Navitus MedicareRx Summary of Benefits - Effective 1/1/22 - 12/31/22
Navitus 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
Accidental Death and Dismemberment (AD&D) Certificate - Effective prior to 1/1/22
Retiree Life Insurance Certificate - Effective 1/1/22
Long Term Disability (LTD) Certificate - Effective 1/1/22
Long Term Disability (LTD) Certificate - Effective prior to 1/1/22
Life Insurance Certificate - Effective prior to 1/1/22
HR/Payroll Publications
ACA and the State Plan - presentation
Newly Eligible Employees - presentation
- 2023 Terminating Employee Benefit Coverage Calendar
- 2022 Terminating Employee Benefit Coverage Calendar
- 2021 Terminating Employee Benefit Coverage Calendar
Workers' Compensation Management Bureau Publications
- Documents related to safety and return to work can be found on the WCMB website.