Summary Plan Description Booklets
Summary Plan Description

Summary of Benefits and Coverage
2022 – 2023 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