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DOCUMENT CENTER

The Company’s Document Center allows an easy access point to gather all documents connected with your Health & Welfare plans. That includes Summary of Benefits and Coverage (SBCs), benefit summaries, highlights and more!

Express Scripts administered by RxBenefits, Inc. (For Collective health members)

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Employee Benefit Guide
2024 Employee Benefit Guide-English

2025 Employee Benefits Guide-English

Employee Contributions

2025 Employee Contributions

Medical- Collective Health
PPO 2024 SBC

HDHP 2024 SBC

Express Scripts Administered by Rx Benefits
PPO 2024 Prescription Benefit Coverage

HDHP 2024 Prescription Benefit Coverage

PPO 2025 Prescription Benefit Coverage

HDHP 2025 Prescription Benefit Coverage

HDHP 2025 Prescription Benefit Coverage

Medical- Kaiser
2024 Deductible HMO SBC NCAL

2024  Deductible HMO SBC SCAL

2024 Traditional HMO SBC NCAL

2024 Traditional HMO SBC SCAL

2024 Mid-Atlantic HMO SBC

Deductible HMO Benefit Summary NCAL

Deductible HMO Benefit Summary SCAL

Traditional HMO Benefit Summary NCAL

Traditional HMO Benefit Summary SCAL

Kaiser Permanente Deductible HMO Plan- Southern Region

Kaiser Permanente Traditional HMO Plan- Southern Region

Kaiser Permanente Deductible HMO Plan- Northern Region

Kaiser Permanente Traditional HMO Plan- Northern Region

2025 Deductible HMO SBC NCAL

2025 Deductible HMO SBC SCAL

2025 Traditional HMO SBC NCAL

2025 Traditional HMO SBC SCAL

2025 Mid Atlantic HMO SBC

2025 Kaiser Permanente Deductible HMO Plan- Northern California

2025 Kaiser Permanente Deductible HMO Plan- Southern Region

2025 Kaiser Permanente Traditional HMO Plan- Northern California

2025 Kaiser Permanente Traditional HMO Plan- Southern Region

MEDICAL UH

2025 United Healthcare SBC

2025 United Healthcare Global PPO (International COC)

MEDICAL/DENTAL/VISION/LIFE/AD&D HMSA
Benefits at a Glance

Summary of Changes

 

SBCs

PPO Medical SBC

United Healthcare SBC

PPO 2025 SBC

HDHP 2025 SBC

SPD

California Times _ PPO _ 2025 _ SPD

California Times _ HDHP _ 2025 _ SPD

Benefit Summaries

Rx Benefits

Dental PPO Benefits

Vision Benefits

Plan Certificate

PPO

United Healthcare Global PPO (International)

Life and AD&D Insurance

(USAble) Life & AD&D Certificate

(USAble) Life & AD&D Group Enrollment or Change Form

(USAble) Life & AD&D Claim Form

DELTA- DELTA DENTAL
2024 DPPO Standard and Enhanced Summary

2024 DPPO Standard and Enhanced Summary – Spanish

2025 DPPO Standard and Enhanced Summary

2025 DPPO Standard and Enhanced Summary – Spanish

Delta Dental PPO

VISION- EYEMED
2024 Enhanced Benefit Summary

2024 Standard Benefit Summary

FSA and HSA Guide

2025 FSA and HSA Guide

2025 FSA & HSA Guide

COMPLIANCE

2023 SAR California Times Health & Welfare Plan

Creditable Coverage Disclosure Notice – NantMedia 2025

2025 illinois Consumer Coverage Disclosure (PPO)

2025 illinois Consumer Coverage Disclosure (HDHP)

2024_SAR_California Times Health & Welfare Plan