Legal Notices and Plan Documents

Summary Plan Document (https://51ffe31a-367e-4d24-aee7-bc3a6db21df6.usrfiles.com/ugd/51ffe3_99efbc0435784e3fa8d8aa921bc71492.pdf) (https://51ffe31a-367e-4d24-aee7-bc3a6db21df6.usrfiles.com/ugd/51ffe3_99efbc0435784e3fa8d8aa921bc71492.pdf) Summary of Material Modification Notices: • Dependent Child Waiver + Pension Updates (https://51ffe31a-367e-4d24-aee7-bc3a6db21df6.usrfiles.com/ugd/51ffe3_48f2608e61e14f5886919118098218a1.pdf) • Termination Eligibility Updated (https://51ffe31a-367e-4d24-aee7-bc3a6db21df6.usrfiles.com/ugd/51ffe3_5abfd11e18d44371b98a31a81460bfc1.pdf) • Delta - Teladoc - Spousal coverage update - LabCorp - Speech Therapy(https://51ffe31a-367e-4d24-aee7-bc3a6db21df6.usrfiles.com/ugd/51ffe3_268a8fadf2a64c8da2b79473c9078f78.pdf) • Vasectomies - Prostate-Specific testing - dental upgrade(https://51ffe31a-367e-4d24-aee7-bc3a6db21df6.usrfiles.com/ugd/51ffe3_7dae31a99f1340d0a1fabf400bcdd9e2.pdf) • Colorectal Cancer - Chiro Services - MRA - Blue Light Lens coverage - Death Benefit Increase - Pension updates(https://51ffe31a-367e-4d24-aee7-bc3a6db21df6.usrfiles.com/ugd/51ffe3_0f04ec9c2e33404ba8c98412754d293f.pdf) • Dental Benefit Maxiumus - Contact Lens Coverage (https://51ffe31a-367e-4d24-aee7-bc3a6db21df6.usrfiles.com/ugd/51ffe3_4adea62b827f4ce2900d52a030e68fed.pdf) • COVID Vaccinations (https://51ffe31a-367e-4d24-aee7-bc3a6db21df6.usrfiles.com/ugd/51ffe3_c24b2179a6d44e3295f9aa6b12c16ea6.pdf) • Allergy Testing - Behavioral Health + Dermoatology with Teladoc - MRA claim reimbursement timeframe updated - Divorce (https://51ffe31a-367e-4d24-aee7-bc3a6db21df6.usrfiles.com/ugd/51ffe3_1f84c395f503489eb0bc82f6b040268c.pdf) • Pension Updates(https://51ffe31a-367e-4d24-aee7-bc3a6db21df6.usrfiles.com/ugd/51ffe3_26140d31c6634931869382f460e40ad5.pdf) • COVID Tests - Substance Abuse Coverage - exclusion for OON services(https://51ffe31a-367e-4d24-aee7-bc3a6db21df6.usrfiles.com/ugd/51ffe3_534580d65a6644eda1bd24b6c354fecb.pdf) • Chiropractic- Pension Update (https://51ffe31a-367e-4d24-aee7-bc3a6db21df6.usrfiles.com/ugd/51ffe3_07bf851bbc76427dab2ecbac3f5a7d8e.pdf) • Hearing Aid Benefit - CVS minute Clinics - Ambulance Services - MRA updates(https://51ffe31a-367e-4d24-aee7-bc3a6db21df6.usrfiles.com/ugd/51ffe3_c5d45799048f485ea81baca8d8f3d868.pdf) • COVID updates - Teladoc - CVS minute clinic - Pension Updates(https://51ffe31a-367e-4d24-aee7-bc3a6db21df6.usrfiles.com/ugd/51ffe3_abef6a30eac343d787107c9d7f2ed66f.pdf) HIPAA Privacy Notice(https://51ffe31a-367e-4d24-aee7-bc3a6db21df6.usrfiles.com/ugd/51ffe3_c6031cf09df54a8a96ace239e58837b8.pdf) Your Rights and Protections Against Surprise Medical Bills(https://51ffe31a-367e-4d24-aee7-bc3a6db21df6.usrfiles.com/ugd/51ffe3_a099eca7b6e14953a16cb86d2e18d264.pdf)

Dental highlights (https://51ffe31a-367e-4d24-aee7-bc3a6db21df6.usrfiles.com/ugd/51ffe3_e95bf82ed1b946ea9db1722f3e3d5ab4.pdf) Member booklet (https://51ffe31a-367e-4d24-aee7-bc3a6db21df6.usrfiles.com/ugd/51ffe3_27c495ea861c4f09ab1e2b4bb0bb3728.pdf) Stay connected - Download the Delta Dental App (https://51ffe31a-367e-4d24-aee7-bc3a6db21df6.usrfiles.com/ugd/51ffe3_31794977234744dea621cd756362e5be.pdf)

Click here (https://51ffe31a-367e-4d24-aee7-bc3a6db21df6.usrfiles.com/ugd/51ffe3_2bec6db03bfa46889d8d9f2e45eedfd6.pdf)for vision details.