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Active Health & Welfare – Archived Plan Documents & Notices

This page contains information that is no longer current but remains on this site for reference purposes.

Plan Documents & Amendments

Plan A SPD – 2012
Plan B SPD – 2012
Plan C SPD – 2012

Summary of Material Modifications & Plan Notices

December 2020 – Health Dynamics Program Exam Requirement Suspended for Plan Year 2021 
December 2020 Plan Clarification for COVID-19 Emergency Period
December 2020 Plan Clarification of Coverage for Gene Therapy
Effective June 1, 2020 – Improvements in the MAC for Hip & Knee Surgery, June 2020 Eligibility for Class 1 Participants Only
Effective March 18, 2020 – Plan Changes for COVID-19
Effective January 1, 2020 – Health Dynamics Program Exam Requirement Suspended for Plan Year 2020
Effective September 1, 2019 – Bright Now! (Newport) Dental Plan Option is Terminated
Effective April 1, 2019 Initial Dental Enrollment & Enrolling a Newborn Child
Effective January 1, 2019 – Health Dynamics Program and Deductible Changes, Plans A,B, or C including COBRA Participants
Effective January 1, 2019 – Network Change for Participants Enrolled in Plan B Indemnity Plan
CalPERS & Anthem Blue Cross Hip and Knee Joint Replacement Program
Effective January 1, 2018 – Deductible Change, Plans A, B or C including COBRA Participants
Effective September 1, 2017 – Domestic Partner Coverage – Imputed Income
Effective July 1, 2015 – LiveHealth Online Services for Direct Pay Plan Participants
LiveHealth Online Brochure
Effective January 1, 2015, Direct Pay Plans – Out of Pocket Limits on Cost Sharing, New Blue Cross Value Based Program,  Dollar Limit on Non-PPO Surgical Centers, & Specialty Medications 
Health Dynamics Wellness Program Exam Requirement Suspended for Plan Year 2020
2020 Wellness Program – Exam Certification Form
Effective September 1, 2019 – Bright Now! (Newport) Dental Plan Option Termination
Effective September 1, 2016 – VSP Benefit Changes
Effective March 1, 2016 – New Hearing Aid Benefit Program thru HearUSA
HearUSA Brochure