Documents & Forms

Premera PPO

• Premera PPO Booklet

• Premera PPO Summary of Benefits and Coverages

Premera CDHP

• Premera CDHP Booklet

• Premera CDHP Summary of Benefits and Coverages

For Both Plans

• Preventive Care Tips & Services

• Transparency in Coverage – Machine Readable Files (MRFs)

Tools
All tools are downloadable Excel documents:

• Healthcare Cost Estimator

• Cost by Utilization Illustration

• Life and AD&D Flyer

• Supplemental Life Insurance Rates

• 7 Tips on Choosing a Beneficiary

For Both Plans

• OneBridge Benefits Card FAQ

Healthcare FSA

• Health Care FSA Eligible Expenses

• Health Care FSA FAQs

Dependent Care FSA

• Dependent Care FSA Eligible Expenses

• Dependent Care FSA FAQs

• HRA VEBA Plan

• HRA VEBA Eligible Expenses

• OneBridge Benefits Card FAQs