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Read about important Plan Changes and Notices that affect your coverage. Each item to the right has a link to a document containing more information. 

If you have any questions or would like more information, please contact us:
Benefit Trust Summary Annual Report for the period February 1, 2015 through January 31, 2016.
Annuity Trust Summary Annual Report for the period February 1, 2015 through January 31, 2016.
Pension Trust Report of Summary Plan Information for the period February 1, 2015 through January 31, 2016.
2016
W-4P 2016 (Pensioners)
If you wish to change the amount of Federal Tax Withheld from your Pension, complete and return the 2016 W-4P
For active participants in the health insurance plan, this summary details deductibles, co-pays and coinsurance.
For non-Medicare retirees who elected health Plan A, this summary details deductibles, co-pays and coinsurance.
For non-Medicare retirees who elected health Plan B, this summary details deductibles, co-pays and coinsurance.
Effective June 1, 2016 the Self-Pay
Rate increased from $297/month to
$320/month.
Pension Plan Annual Funding Notice,
Yellow Zone Plan Status, and an 
Explanation of Required Notices
Summary of Material Modifications made to the Benefit Summary Plan Description
Summary of Material Modifications made to the Pension Summary Plan Description
Medicare Part D Notice of Creditable Coverage for 2017
Medicare Rate Change effective 1/1/2017 and Opt Out Form
Adult Children Ages 19-25 must complete the attached form to continue coverage in 2017
Aetna Medicare Notice of Change for 2017
Benefit Changes detailed including changes to CVS Caremark for pharmacy benefits, and changes to self-pay maximums for 2017.
Benefit Changes detailed including changes to CVS Caremark for pharmacy benefits.
2017
W-4P 2017 (Pensioners)
If you wish to change the amount of Federal Tax Withheld from your Pension, complete and return the 2017 W-4P
For active participants in the health insurance plan, this summary details deductibles, co-pays and coinsurance.
For non-Medicare retirees who elected health Plan A, this summary details deductibles, co-pays and coinsurance.
For non-Medicare retirees who elected health Plan B, this summary details deductibles, co-pays and coinsurance.
Effective June 1, 2017 the Self-Pay
Rate increased from $320/month to
$346/month.
Pension Plan Annual Funding Notice,
Yellow Zone Plan Status, and an 
Explanation of Required Notices