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Summary of Material Modifications (SMMs)
Summary of Material Modifications (SMMs)
- July 2016, Summary of Material Modifications – New Routine Physical Exam $100 Wellness Benefit effective July 1, 2016.
- May 2016, Summary of Material Modifications – Cataract Surgery/Network Provider Information
- April 2015, Summary of Material Modifications – Elective Out-Patient Surgeries and Naturopath Services changes effective April 30, 2015.
- April 2015, Summary of Material Modifications – Out-of-Network Maximum Allowable Charge Determination and Assignment of Benefits changes effective April 1, 2015.
- December 2014, Summary of Material Modifications – Hearing Aid Allowance Increase effective January 1, 2015.
- June 2014, Summary of Material Modifications – Plan Amendments and Announcements.
- April 2014, Summary of Material Modifications – Declining Spousal Coverage
- December 2013, Summary of Material Modifications – Plan A PPO Plan Changes.
- October 2013, Summary of Material Modifications – Changes effective January 1, 2014.
- April 2013, Summary of Material Modifications – Changes affecting Plan A and Plan B Participants.
- October 2012, Summary of Material Modifications – Affects Plan A PPO Participants and changes are effective January 1, 2013.
- October 2010, Summary of Material Modifications – Affects Plan A PPO Participants and changes are effective January 1, 2011.
- 1999 Summary Annual Report
- 2002 Summary Annual Report
- 2004 Summary Annual Report
- 2005 Summary Annual Report
- 2006 Summary Annual Report
- 2008 Summary Annual Report
- 2009 Summary Annual Report
- 2010 Summary Annual Report
- April 2013, Summary of Material Modifications
- April 2014, Summary of Material Modifications
- April 2015 Notice on Dental Providers in Mexico/New Pinnacle ID Card
- April 2015, Summary of Material Modifications
- April 2015, Summary of Material Modifications
- August 2015 Notice on Medical and Dental Services in Mexico and Out-of-Pocket Costs
- Change of Address Form
- Claim Forms
- COBRA Forms
- December 2013, Summary of Material Modifications
- December 2014, Summary of Material Modifications
- December 2015 Notice of New PPO Plan Pharmacy Benefit Manager/New Medical Id Card
- Disability Credit Acknowledgement
- July 2015 Notice on Change to the Rules of Eligibility for Non-Bargaining Employees with respect to Plan A or Plan B Group Health Coverages
- July 2016, Summary of Material Modifications
- June 2014, Summary of Material Modifications
- May 2016, Summary of Material Modifications
- Medical Claim Form
- Medical Claim Form
- October 2012, Summary of Material Modifications
- October 2013, Summary of Material Modifications
- Official Plan Notices
- Physician’s Disability Certification
- Subrogation and Assignment of Benefits Form
- Subrogation Questionnaire
- Summary Annual Reports
- Summary of Material Modifications October 2010