Newsletters (Active Members)2016 Winter Active Newsletter2015 Open Enrollment Newsletter2015 Summer Active Newsletter2015 Spring Active Newsletter2015 Winter Active Newsletter2014 Open Enrollment Newsletter2014 Open Enrollment Newsletter - Western PA Members2014 Summer Active Newsletter2014 Spring Active NewsletterNewsletters (Retiree Members)2016 Winter Retiree Newsletter2015 Open Enrollment Newsletter (Non-Medicare Retirees)2015 Medicare Open Enrollment Newsletter2015 Summer Retiree Newsletter2015 Spring Retiree Newsletter2015 Winter Retiree Newsletter2014 Medicare Open Enrollment Newsletter 2014 Open Enrollment Newsletter (Non-Medicare Retirees)2014 Open Enrollment Newsletter (Western PA Non-Medicare Retirees)2014 Summer Retiree Newsletter2014 Spring Retiree NewsletterBenefit Booklets/SummariesBenefit Comparison Chart - Active MembersBenefit Comparison Chart - Non-Medicare Elig. Retired Prior to 7/1/04Benefit Comparison Chart - Non-Medicare Elig Retired After 7/1/04CDHP Option - HRA IRS Covered Medical ExpensesFact Sheet: Health Coverage for Domestic Partners - Active MembersFact Sheet: Health Coverage for Domestic Partners - Retiree MembersREHP Benefits Handbook July 2014Summary Plan Description - March 2015Get HealthyGet Healthy Program Requirements BrochureGet Healthy Program FAQs Physician Results FormPrescription Drug Plan (Active & Non-Medicare Eligible Retiree Members)2016 Prescription Drug FormularyAllergenic Extract Claim FormFormulary Exclusion ListMail Order FormPrescription Reimbursement Claim FormPrior Authorization, Step Therapy and Quantity Limit ListSpecialty Drug ListSpecialty Step Therapy Drug ListPrescription Drug Plan (REHP Medicare-Eligible Retiree Members)2016 Prescription Drug Formulary - Revised January 2016Allergenic Extract Claim FormEvidence of CoverageMail Order FormPrescription Reimbursement Claim FormSummary of BenefitsHIPAAHIPAA Authorization to Release Protected Health Information FormPEBTF Notice of Privacy PracticesREHP Notice of Privacy PracticesHIPAA FAQsFormsCertification for Medically Required Vision Care BenefitCOBRA Important NoticeCOBRA Important Notice for Retiree MembersForeign Marriage Affidavit (PEBTF-FM)Hearing Aid Claim Form - Active MembersMedical Reimbursement Plan Claim Form - For pre-7/1/04 Non-Medicare HMO MembersPEBTF-2 Employee Enrollment/Change FormPEBTF-5 Common Law Marriage AffidavitPEBTF-6 Disabled Dependent Certification FormPEBTF-11 Declaration of Spouse/Domestic Partner Health CoveragePEBTF-12 Domestic Partner Verification Statement and Application for Health BenefitsPEBTF-13 Individual Domestic Partnership Termination StatementPEBTF-14 Adult Dependent Coverage FormPEBTF-36 Employer Benefit Verification FormPEBTF-40 Direct Payment Authorization FormPEBTF-41 Enrollment in PEBTF Prescription Drug Plan Without PEBTF Medical Plan CoverageArchived Publications2014 Winter Active Newsletter2014 Winter Retiree Newsletter2013 Open Enrollment Newsletter2013 Open Enrollment Newsletter (Non-Medicare Retirees)2013 Medicare Open Enrollment Newsletter2013 Winter Active Newsletter2013 Winter Retiree Newsletter2013 Spring Active Newsletter2013 Spring Retiree Newsletter2013 Summer Active Newsletter2013 Summer Retiree Newsletter2012 Summer Active Newsletter2012 Open Enrollment Newsletter2012 Open Enrollment Newsletter (Non-Medicare Retirees)2012 Medicare Open Enrollment Newsletter2012 Winter Retiree Newsletter2012 Spring Active Newsletter2012 Spring Retiree Newsletter2012 Summer Retiree Newsletter
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