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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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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

QDIA Yearly Notice

QDIA Notice 2025

QDIA Notice 2024

QDIA Notice 2023

QDIA Notice 2022

QDIA Notice 2021

QDIA Notice 2020

QDIA Notice 2019

QDIA Notice 2018