If you wish to change the amount of Federal Tax Withheld from your Pension, complete and return the 2016 W-4P.
2016
2016 Summary of Benefits
For active participants in the health insurance plan, this summary details deductibles, co-pays and coinsurance.
2016 Summary of Benefits
For non-Medicare retirees who elected health Plan A, this summary details deductibles, co-pays and coinsurance.
2016 Summary of Benefits
For non-Medicare retirees who elected health Plan B, this summary details deductibles, co-pays and coinsurance.
Self-Pay Rate Increase
Effective June 1, 2016 the Self-Pay Rate increased from $297/month to $320/month.
Annual Funding Notice
Pension Plan Annual Funding Notice, Yellow Zone Plan Status, and an Explanation of Required Notices
Benefit Summary of Material Modification
Summary of Material Modifications made to the Benefit Summary Plan Description.
2019
Notice of Prescription Drug Medicare Part D
October 4, 2019
Benefit Trust Summary of Material Modification
August 22, 2019
Pension Trust Summary of Material Modification
August 22, 2019
Annuity Trust Summary of Material Modification
August 22, 2019
Pension Plan Annual Funding Notice
May 31, 2019
2019 Anthem Medical Plan Summary of Benefits and Coverage
January 21, 2019
The Summary of Benefits and Coverage (SBC) documents from Anthem for 2019 are now available:
2018
2019 Adult Child Form
November 15, 2018
To continue coverage in 2019 for a child aged 19 through 26, please complete the 2019 Adult Child Form .
Humana Medicare Participants Rates and Opt-Out Form 2019
October 15, 2018
Now Accepting Electronic Self-Pay Payments
August 15, 2018
Active and Non Medicare Participants SMM
August 15, 2018
Self-Pay Rate Increase
April 9, 2018
Non-Medicare Retiree Rate Increase
January 23, 2018
2017
Annual Funding Notice
May 18, 2017
Self-Pay Rate Increase and Anthem
March 17, 2017
W-4P 2017 (Pensioners)
January 26, 2017
2017 Summary of Benefits (Active)
January 23, 2017
2017 Summary of Benefits (Retiree Plan A)
January 23, 2017
2017 Summary of Benefits (Retiree Plan B)
January 23, 2017
Benefit Summary of Material Modification
August 25, 2016
2016
W-4P 2016 (Pensioners)
September 25, 2017
2016 Summary of Benefits (Active)
September 25, 2017
2016 Summary of Benefits (Plan A)
September 25, 2017
2016 Summary of Benefits (Plan B)
September 25, 2017
Non-Discrimination Notice
October 20, 2016
Annual Funding Notice
May 1, 2016
Self-Pay Rate Increase
March 1, 2016