Plan Documents
2025
Sedgwick – Short-Term Disability SPD (Salaried)Sedgwick – Short-Term Disability SPD (Hourly)
New York Life – Long-Term Disability Benefit Summary (Salaried)
New York Life – Long-Term Disability SPD (Salaried)
New York Life – Long-Term Disability Benefit Summary (Hourly)
New York Life – Long-Term Disability SPD (Hourly)
2025
Effective January 1, 2025OptumRx – 01.2025 Premium Standard Formulary
OptumRx – 01.2025 Premium Standard Formulary (Preventive Generics)
OptumRx – 01.2025 Premium Standard Formulary (PA Required)
OptumRx – 01.2025 Premium Standard Formulary (Quantity Limits)
OptumRx – 01.2025 Premium Standard Formulary (Step Therapy)
OptumRx – 01.2025 Premium Formulary Exclusion
Effective July 1, 2025
OptumRx – 07.2025 Premium Standard Formulary
OptumRx – 07.2025 Premium Standard Formulary (PA Required)
OptumRx – 07.2025 Premium Standard Formulary (Quantity Limits)
OptumRx – 07.2025 Premium Standard Formulary (Step Therapy)