Below is information that members can download to look over the plan option that applies to them. Each plan option has partial listings of benefits for health care, dental, vision and hearing. If you do not know which plan applies to you please contact us or ask your employer.

 

 

Plan A

To see the Summary Plan Description, the Schedule of Benefits or Prescription Coverage for this plan, click on a PDF document below.

Plan A Summary Plan Description
PLAN A and B SPD 01.01.2015.pdf
Adobe Acrobat Document 664.7 KB
Plan A Summery of Benefits and Coverage
Plan A SBC 01.01.2016.pdf
Adobe Acrobat Document 312.3 KB
Plan A Schedule of Benefits
Plan A Shell 01.01.2016.pdf
Adobe Acrobat Document 462.0 KB
Plan A Prescription Coverage
2015 Caremark Welcome Letter.PlanA.pdf
Adobe Acrobat Document 46.4 KB

Plan B

To see the Summary Plan Description, the Schedule of Benefits or Prescription Coverage for this plan, click on a PDF document below.

Plan B Summary Plan Description
PLAN A and B SPD 01.01.2015.pdf
Adobe Acrobat Document 664.7 KB
Plan B Summary of Benefits and Coverage
Plan B SBC 01.01.2016.pdf
Adobe Acrobat Document 311.5 KB
Plan B Schedule of Benefits
Plan B Shell 01.01.2016.pdf
Adobe Acrobat Document 482.7 KB
Plan B Prescription Coverage
2015 Caremark Welcome Letter.PlanB.pdf
Adobe Acrobat Document 46.3 KB

Retiree Plan

To see the Summary Plan Description, the Schedule of Benefits, the Summary of Benefits and Coverage or Prescription Coverage for this plan, click on a PDF document below.

SPD Retiree
Retiree SPD 2005.pdf
Adobe Acrobat Document 12.2 MB
Retiree Plan Schedule of Benefits 2016
Retiree Shell 01 01 2016.pdf
Adobe Acrobat Document 445.5 KB
Retiree Plan SBC 2016
Retiree SBC 01 01 2016.pdf
Adobe Acrobat Document 301.5 KB

Retiree Plan Prescription Coverage
CaremarkWelcomeLetter.Retiree(1).pdf
Adobe Acrobat Document 28.8 KB

Please Contact Us for questions about the Retiree rates or questions about the plans.

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