Toggle navigation
EMPLOYER LOG IN
FREELANCER LOG IN
PARTICIPATING EMPLOYERS LIST
Employers
California Freelancers
Non-California Freelancers
Staff Employees
Life Happens
Documents & Resources
About
About PHBP
PHBP Contacts
Trust Information
News Archive
Important Messages from the PHBP
Wellness & Perks
Contact
JOIN
You're here:
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