1. You're here:
  2. Documents and Resources

Documents and Resources

GENERAL PLAN DOCUMENTS

 2019 Summary Plan Description (SPD)
 2020 Summary of Material Modifications (SMM)
 2020 - 2021 Summary of Material Modifications (SMM)
 2021 Summary of Material Modifications (SMM)
 2022 (April) Summary of Material Modifications (SMM)
 2022 Participation Agreement
 2022 Trust Agreement
 2023 Summary of Material Modifications (SMM)
 Policy and Procedures for the Collection of Contributions

INSURANCE PROVIDER DOCUMENTS

 2023 Anthem Classic HMO Summary of Benefits and Coverage
 2023 Anthem Classic Plus Summary of Benefits and Coverage
 2023 Anthem Premier PPO (California) Summary of Benefits and Coverage
 2023 Anthem HDHP with HSA Summary of Benefits and Coverage
 2023 Anthem Accident Benefit Summary
 2023 Anthem Critical Illness Benefit Summary
 2023 Anthem Hospital Indemnity Benefit Summary
 2023 Anthem Dental Benefit Summary
 2023 Anthem Vision Plan Summary of Benefits
 2023 Anthem Life Insurance Benefit Summary Freelance
 2023 Anthem Life Insurance Benefit Summary Freelance - Supplemental
 2023 Anthem Life Insurance 25K Summary Benefit Staff
 2023 Anthem Life Insurance 50K Summary Benefit Staff
 2023 Anthem Life Insurance Benefit Summary Staff - Supplemental
 2023 Anthem Long Term Disability Insurance Summary Benefits Non-California
 2023 Anthem Long Term Disability Insurance Summary Benefits California
 2023 Anthem Short Term Disability Insurance Summary Benefits California
 2023 Anthem Short Term Disability Insurance Summary Benefits Non-California
 2022 Anthem Classic Plus Summary of Benefits and Coverage
 Freelance Certificate of Insurance - Life AD&D
 Freelance Certificate of Insurance - Hospital Indemnity
 Staff Certificate of Insurance - STD NonCA
 Freelance Certificate of Insurance - Critical Illness
 Freelance Certificate of Insurance - Accident Coverage
 Staff Certificate of Insurance - LTD nonCA
 Staff Certificate of Insurance - LTD CA
 Staff Certificate of Insurance - CA Staff STD
 Staff Certificate of Insurance - Life AD&D
 Staff Certificate of Insurance - Hospital Indemnity
 Staff Certificate of Insurance - Critical Illness
 Staff Certificate of Insurance - Accident Coverage

PARTICIPATING EMPLOYER DOCUMENTS

 COBRA Qualifying Event Form
 Consent to receive Plan Documents electronically
 How to Pay Your Bill Online
 Non-Commercial Project Declaration Form
 Termination Notice
 Synergy Enrollment - Add an Employee
 Synergy Enrollment - Remove an Employee
 Global Core Travel Benefits
 Traveling Out of Town or Abroad

PARTICIPATING FREELANCER DOCUMENTS

 COBRA Qualifying Event Form
 Consent to receive Plan Documents electronically
 Monthly Auto Payment / ACH Form
 Work History Correction Form
 Global Core Travel Benefits
 Traveling Out of Town or Abroad
 How to Find a Doctor Instructions
 Anthem - How to file a short-term disability claim
 Anthem - Anthem Disability due to pregnancy

PARTICIPATING STAFF EMPLOYEE DOCUMENTS

 COBRA Qualifying Event Form
 Consent to receive Plan Documents Electronically
 Allow the Plan to Discuss Your Account with Spouse
 Global Core Travel Benefits
 Traveling Out of Town or Abroad
 Staff Find a Doctor

Coronavirus (COVID 19) Updates

 COVID-19 Emergency Health Measures Extended until November 11, 2023
 Coronavirus Relief Announcement - August Update
 Coronavirus Relief Announcement - July Update
 Coronavirus Relief Announcement - June Update
 Coronavirus Relief Announcement - May Update
 Coronavirus Relief Announcement - March
 Small Business Owner's Guide to the CARES Act
 PHBP Announcement March 13, 2020
 Anthem Important facts about coronavirus
 Anthem Coronavirus FAQ Sheet
 Anthem COVID-19 Employee Assistance Program (EAP) Resource Flyer- English
 Anthem COVID-19 Employee Assistance Program (EAP) Resource Flyer- English
 Department of Managed Health Care Coverage Options