Model Memo to Accompany Summary of Benefits
Retirees PPO D-2 with Rx SBC Effective Jan 1 2025 - June 30 2025
Retirees PPO D-2 with Rx SBC Effective Jan 1 2025 - June 30 2025
Retirees PPO D-2 without Rx SBC Effective Jan 1 2025 - June 30 2025
Retirees PPO D-2 without Rx SBC Effective July 1 2024 - December 31 2024
Retirees PPO D-2 without Rx SBC Effective Jan 1 2025 - June 30 2025
Retirees PPO D-2 without Rx SBC Effective July 1 2024 - December 31 2024
Retirees PPO D-2 with Rx SBC Effective Jan 1 2025 - June 30 2025
Retirees PPO D-2 with Rx SBC Effective July 1 2024 - December 31 2024
Active Employees PPO D-2 without Rx SBC Effective Jan 1 2025 - June 30 2025
Active Employees PPO D-2 without Rx SBC Effective July 1 2024 - December 31 2024
Active Employees PPO D-2 with Rx SBC Effective Jan 1 2025 - June 30 2025
Active Employees PPO D-2 with Rx SBC Effective July 1 2024 - December 31 2024
Active Employees PPO without Rx SBC Effective Jan 1 2025 - June 30 2025
Active Employees PPO without Rx SBC Effective July 1 2024 - December 31 2024
Active Employees PPO with Rx SBC Effective Jan 1 2025 - June 30 2025
Active Employees PPO with Rx SBC Effective July 1 2024 - December 31 2024