Change of Address Form
Enrollment Form
Western Growers Summary Plan Description
The Hartford Annual Legislative Notice
Western Growers Benefit Summaries
Dental Health Services Schedule
Marketplace Coverage Options and Your Health Coverage
Transparency in Coverage and Consolidated Appropriations Act FAQs
The Hartford Benefits Summary
The Hartford Annual Customer Privacy Policy
Summary Plan Description - Feb 2021
Summary of Benefits & Coverage – July 2022
Notice of Privacy Practices 2013
Summary of Benefits & Coverage – July 2022 (Spanish)
Blue Cross Blue View Vision Benefits Summary
Western Growers Benefit Summaries (Spanish)
Summary Plan Description (Spanish)
DHS Dental Enrollment Form
Hartford Enrollment Form
Authorization to Disclose PHI
Hartford Beneficiary Designation Form
Blue Cross Blue View Vision Enrollment Form
WGAT Enrollment Card
Supplement #1 - June 2024 (Required Beginning Distributions and Disclaimer of Benefits)
Plan Merger Information
SCPT 401(K) Participant Notice
SCPT Defined Contribution Enrollment Change Form
SCPT Defined Contribution Beneficiary Designation Form
Contribution Payment Methods
Managing Contribution Benefits
401(k) Enrollment/Change/Opt-Out Form
Inactive Status Request Form
Benefit information varies by Trust Funds. Please make a selection.