Forms and information

• Accident form
• Appeal request form
• Authorization for release of protected health information (PHI)
• Continuity of care request form
• Copayments and coinsurance
• Copay waiver request form
• Disenrollment form
• Health Link newsletter
• How to sign up for the Participant Portal
• Life insurance beneficiary form
• Loss of time (LOT) form and checklist
• Medical/vision claim form
• Medicare Part D notice
• Open enrollment form
• Open enrollment packet
• Participant Guide
• Private health survey
• Retiree enrollment application
• Self-pay
• Summary Annual Report (SAR)
• Summary of Benefits and Coverage (SBC)
• Summary Plan Description (SPD)
• Tax information
• Vision
• What to do if you get hurt at work
• Womenʼs Breast Cancer Annual Notice
• Your Rights and Protections Against Surprise Medical Bills