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2025 Full Select Standard Formulary Medication List – Effective July 1, 2025
Prior Authorization (PA) – Select Formulary Medications – Effective July 1, 2025
Medication Step Therapy – Select Formulary – Effective July 1, 2025
Medication Quantity Limits – Step Formulary – Effective July 1, 2025
Formulary Updates for Tier 1, Tier 2, Tier 3 Medications – Effective July 1, 2025
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Board of Trustees
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Forms
Plan Document
QDRO Procedures
Summary Plan Description (SPD)
FAQ
Welfare
1095B TAX INFORMATION
Change Healthcare Breach 2024 – Impact to Members
Board of Trustees
Annual Notifications
Forms
Health & Welfare Statement
Life Insurance Certificate
Notice of Privacy Practices
Plan Document/Summary Plan Description
Procedures for Self Payments
Quarterly Fringe Statement
Retiree and COBRA Premium Rates
Summary Annual Reports (SAR)
Summary of Benefits & Coverage (SBC)
Welfare Amendments
Welfare Claim Issues
Welfare FAQ
I-Site EOBs
Forms
Family Medical Ctr
Northwind Pharmacy – Home Delivery
School & Sports Physical
Additional Activate Health Centers Across America
Wellness Program Physician Form 2025
Service Providers
Consociate
Consociate Portal Quick Start Guide
HRA Training Video 2019
HRA Reimbursement Form
Mobile App Video
How to Use HRA
BCBS Provider Lookup
Optum Rx
Welcome to Optum Rx
Optum Rx – Contact Numbers
Get Smart About Prescriptions
Optum Rx – Mail Order Form
Optum Rx – Pharmacy Benefit Summary
Optum Rx – Prescription Reimbursement Form
2025 Full Select Standard Formulary Medication List – Effective July 1, 2025
Prior Authorization (PA) – Select Formulary Medications – Effective July 1, 2025
Medication Step Therapy – Select Formulary – Effective July 1, 2025
Medication Quantity Limits – Step Formulary – Effective July 1, 2025
Formulary Updates for Tier 1, Tier 2, Tier 3 Medications – Effective July 1, 2025
Delta Dental
Delta Dental Provider Look Up
Delta Dental – PPE Update
Express Scripts – Medicare PDP
IBEW Local No. 145 Medicare Part D Rx Summary
Express Scripts Medicare Part D 2026 Formulary
Merrill Lynch
Merrill Lynch – Member Portal Login
Local Merrill Lynch Website
MDLIVE Virtual Visits
MDLIVE Video
Personal Assistance Program
New Portal Login Information
PAS Brochure
EAP Brochure
SentryHealth – Care Concierge
Telligen CONNECT Member Portal
Wellness Program Physician Form 2025
2024 Wellness Program Information
Vision Service Plan (VSP)
(VSP) Vision Benefits Summary
(VSP) Out Of Network Form
VSP – Featured Frames Listing
VSP – Featured Frames $20 Savings Coupon – 2024
VSP Exclusive Member Extras
VSP ProTec Safety Plan
VSP Eye Conic Online Shopping
VSP TruHearing Hearing Aid Savings
Trustee Portal
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