Forms and Documents
Your Benefits During COVID-19
General
- Overview Brochure
- Enrollment Form
- HMO Summary of Benefits and Coverage – effective March 1, 2024
- PPO Summary of Benefits and Coverage – effective January 1, 2024
- HPN HMO Discover Guide
- Vision Benefit Summary
- Disability Claim Form
- LiveHealth Online Flyer
- NowClinic Telemedicine Flyer
- Be Smart…Don’t Overpay for Urgent Care
- Notice of Privacy Practices
- HIPAA Privacy Notice
- Teamsters Local 986 2022 Dependent Audit FAQs-v2.pdf
Newsletters
Summary Plan Description and Amendments
Required Notices
