Please be sure to enter your Member ID WITHOUT
the NSA prefix—only the numbers, no letters.
Please be sure to enter your Member ID WITHOUT
the NSA prefix—only the numbers, no letters.
As an in-network benefit, your copay is only $25 and your existing benefits apply.
Be ready. Register now.
To sign up for Automatic payments, lo
Participants and their qualified dependents who were covered under Active Plan should subm
From time to time, changes are made to participant benefits. It is important to stay up-to-date with these changes as they are announced. Please note that these updates amend the Summary Plan Description (SPD).

For information regarding status of eligibility and recent earnings, log in to your Benefits Manager or use our automated phone system 7 days a week, 24 hours a day at (800) 777-40
In order to receive coverage, participants are required to pay a premium.
The following minimum requirements for earned eligibility apply to the first day of any calendar quarter, which start on January 1st, April 1st, July 1st and October 1st.
The following information is only a summary. Full Plan details and rules are available in the Summary Plan Description (SPD).