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      • Prior Authorization (PA) – Select Formulary Medications – Effective July 1, 2025
      • Medication Step Therapy – Select Formulary – Effective July 1, 2025
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      • Formulary Updates for Tier 1, Tier 2, Tier 3 Medications – Effective July 1, 2025
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Member Dashboard
  • COVID19
  • Annuity & Profit Sharing
    • Board of Trustees
    • Amendments
    • Applying for a Withdrawal
    • Fee Disclosure
    • Forms
    • Investment Changes
    • Plan Document
    • QDIA Yearly Notice
    • Special Tax Notice
    • Summary Annual Reports (SAR)
    • Summary Plan Description (SPD)
    • FAQ
  • Pension
    • Board of Trustees
    • Amendments
    • Annual Funding Notice
    • Annual Pension Letter
    • Forms
    • Plan Document
    • QDRO Procedures
    • Summary Plan Description (SPD)
    • FAQ
  • Welfare
    • 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 FAQ
  • I-Site EOBs
  • Forms
  • Family Medical Ctr
    • 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 – 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
    • Personal Assistance Program
      • New Portal Login Information
      • PAS Brochure
      • EAP Brochure
    • Humana
    • MDLIVE Virtual Visits
      • MDLIVE Video
    • SentryHealth – Care Concierge
    • Merrill Lynch
      • Merrill Lynch – Member Portal Login
      • Local Merrill Lynch Website
    • 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
  • Retirement Planning Calculator
  • Contact Us
  • TAX INFORMATION

Fee Disclosure

404(a)(5) Participant Disclosure Notice 2024

404(a)(5) Participant Disclosure Notice 2023

404(a)(5) Participant Disclosure Notice 2022

404(a)(5) Participant Disclosure Notice 2021

404(a)(5) Participant Disclosure Notice 2020

404(a)(5) Participant Disclosure Notice 2019

404(a)(5) Participant Disclosure Notice 2018