Summary Plan Description Booklets
– Health & Welfare Plan SPD
– SMMs (Benefit Changes) to the Health & Welfare Plan SPD

Summary of Benefits and Coverage
– 2020-2021 SBC

Benefit Summaries
– Benefit Summary

Downloads and Forms
– Enrollment Form for Cafeteria Workers
– Enrollment Form for Climate Staff
– HIPAA Authorization Form
-Vision Benefits of America Member Portal
-Vision Benefits of America ID Card
-BeneCard PBF Central Fill Mail Service Order Form
-BeneCard Direct Member Reimbursement Form
-BeneCard PBF Mobile App

Useful Links
-Guardian Nurses 
-Louis P. Mattucci & Associates
-Philadelphia Podiatrist

Useful Numbers
– Participant Services Phone #: (833) 228-9212
-Guardian Nurses Phone #: 215-836-0260
-Louis P. Mattucci & Associates Phone #: 215-364-6500
-Phildelphia Podiatrist Phone#: 215-923-2455
-BeneCard Prescription Benefit Facilitator
1-888-907-0070 TDD: 1-888-907-0020