Enjoy Peace of Mind When You Choose SAMBA
Notice Date PDF File Article or Document
2018
04/15/18 PDF Download (627KB) HealthWise Newsletter – Spring 2018
01/15/18 PDF Download (538KB) HealthWise Newsletter – Winter 2018
01/01/18 PDF Download (17KB) 2018 Health Plan Option Comparison
01/01/18 PDF Download (340KB) 2018 Standard Option Health Plan Summary Pamphlet
01/01/18 PDF Download (758KB) 2018 Dental & Vision Plan Summary Pamphlet
01/01/18 PDF Download (358KB) 2018 SAMBA Health Plan Brochure
10/30/17 PDF Download (68KB) Member Letter – Your 2018 SAMBA Standard Option Health Plan
10/30/17 PDF Download (68KB) Member Letter – Your 2018 SAMBA High Option Health Plan
2017
10/15/17 PDF Download (52KB) 2017 Medicare Part D Notice
08/01/17 PDF Download (232KB) HealthWise Newsletter – Summer 2017
04/01/17 PDF Download (121KB) HealthWise Newsletter – Spring 2017
01/01/17 PDF Download (335KB) 2017 Health Plan Brochure
01/01/17 PDF Download (17KB) 2017 Health Plan Option Comparison
01/01/17 PDF Download (250KB) 2017 Summary of Benefits and Coverage (SBC): Standard Option
01/01/17 PDF Download (251KB) 2017 Summary of Benefits and Coverage (SBC): High Option
01/01/17 PDF Download (327KB) 2017 Standard Option Health Plan Marketing Pamphlet
01/01/17 PDF Download (297KB) 2017 Dental & Vision Plan Marketing Pamphlet
10/26/16 PDF Download (67KB) Member Letter – The 2017 SAMBA High Option Health Plan
10/26/16 PDF Download (67KB) Member Letter – The 2017 SAMBA Standard Option Health Plan
2016
12/01/16 PDF Download (817KB) HealthWise Newsletter – Winter 2016.2
07/01/16 PDF Download (197KB) HealthWise Newsletter – Summer 2016
05/01/16 PDF Download (497KB) HealthWise Newsletter – Spring 2016
03/01/16 PDF Download (1060KB) HealthWise Newsletter – Winter 2016
01/01/16 PDF Download (350KB) 2016 Health Plan Brochure
01/01/16 PDF Download (16KB) 2016 Health Plan Option Comparison
01/01/16 PDF Download (253KB) 2016 Summary of Benefits and Coverage (SBC): Standard Option
01/01/16 PDF Download (252KB) 2016 Summary of Benefits and Coverage (SBC): High Option
01/01/16 PDF Download (56KB) 2016 Express Scripts National Preferred Formulary
01/01/16 PDF Download (50KB) Self Plus One Enrollment Type FAQs
01/01/16 PDF Download (1451KB) 2016 Standard Option Health Plan Marketing Book
01/01/16 PDF Download (293KB) 2016 Dental & Vision Plan Marketing Pamphlet
10/26/15 PDF Download (130KB) Transition to Express Scripts Frequently Asked Questions
10/26/15 PDF Download (6131KB) Member Letter – Your 2016 SAMBA Health Plan – Standard Option
10/26/15 PDF Download (6144KB) Member Letter – The 2016 SAMBA Health Plan – High Option
2015
01/01/15 PDF Download (8565KB) 2015 Health Plan and Dental & Vision Plan Marketing Book
01/01/15 PDF Download (251KB) 2015 Summary of Benefits and Coverage (SBC): Standard Option
01/01/15 PDF Download (251KB) 2015 Summary of Benefits and Coverage (SBC): High Option
01/01/15 PDF Download (15KB) 2015 Health Plan Option Comparison
01/01/15 PDF Download (15KB) 2015 Health Plan Brochure
11/01/14 PDF Download (99KB) Member Letter -Your 2015 SAMBA Standard Option Health Plan
11/01/14 PDF Download (101KB) Member Letter -Your 2015 SAMBA High Option Health Plan
2014
12/19/14 PDF Download (947KB) Disability Summary of Material Modifications
07/01/14 PDF Download (76KB) Healthwise July 2014 Newsletter
01/01/14 PDF Download (52KB) 2014 Medicare Part D Notice
01/01/14 PDF Download (250KB) Summary of Benefits and Coverage (SBC) High Option
01/01/14 PDF Download (250KB) Summary of Benefits and Coverage (SBC) Standard Option
01/01/14 PDF Download (332KB) 2014 Health Plan Brochure
01/01/14 PDF Download (744KB) 2014 Health Plan and Dental & Vision Plan Marketing Book
11/01/13 PDF Download (37KB) Member Letter – Your 2014 SAMBA Health Plan – High Option
11/01/13 PDF Download (35KB) Member Letter – Your 2014 SAMBA Health Plan – Standard Option
2013
10/01/13 PDF Download (52KB) Important Notice About Prescription Drug Coverage and Medicare
05/01/13 PDF Download (319KB) SAMBA’s Notice of Privacy Practices
01/01/13 PDF Download (319KB) 2013 Health Plan Brochure
01/01/13 PDF Download (5MB) 2013 Health Plan and Dental & Vision Plan Marketing Book
11/01/13 PDF Download (39KB) Member Letter – Health Plan – Announcing 2013 SAMBA Health Plan Premium and Benefit Changes
2012
11/01/12 PDF Download (27KB) Transition to CVS Caremark – FAQ
10/19/12 PDF Download (26KB) Member Letter – Life Insurance – ReliaStar/ING new underwriter Group Term Life
10/19/12 PDF Download (164KB) Member Letter – Life Insurance – ReliaStar/ING new underwriter Personal Accident Insurance
09/14/12 PDF Download (51KB) Member Letter – Life Insurance – ReliaStar/ING new underwriter Employee Benevolent Fund
09/04/12 PDF Download (52KB) Member Letter – Life Insurance – ReliaStar/ING new underwriter Over Age 70 Group Term Life
09/01/12 PDF Download (218KB) Life Insurance – ING Travel Assistance
09/01/12 PDF Download (208KB) Life Insurance – ING Everest Funeral Planning and Concierge Benefit
09/01/12 PDF Download (456KB) Summary Plan Description – ING Employee Benevolent Fund, ATF only
09/01/12 PDF Download (454KB) Summary Plan Description – ING Employee Benevolent Fund, all agencies except ATF
08/08/12 PDF Download (85KB) Member Email – Employee Benevolent Fund Annual Renewal Notice
04/30/12 PDF Download (84KB) Member Letter – Health Plan – General Information
04/02/12 PDF Download (50KB) Important Notice – Express Scripts and Medco Health Solution Complete Merger
01/01/12 PDF Download (310KB) 2012 Health Plan Brochure
01/01/12 PDF Download (39KB) Summary Plan Description – Dental and Vision Plan
2011
11/15/11 PDF Download (183KB) Member Letter – Dental and Vision – 2012 Dental & Vision Premium Increase
11/01/11 PDF Download (89KB) Member Letter – Health Plan – Announcing 2012 SAMBA Health Plan Premium and Benefit Changes
10/26/11 PDF Download (90KB) Member Letter – Dental and Vision – Alaska Dental DMO Cancellation 01/01/2012
07/05/11 PDF Download (7KB) Member Letter – Disability Income Protection Plan Special Offer Allotment Members
07/05/11 PDF Download (7KB) Member Letter – Disability Income Protection Plan Special Offer Bill Pay Members
01/01/11 PDF Download (277KB) 2011 Health Plan Brochure
01/01/11 PDF Download (138KB) Summary Plan Description – SAMBA Term Life Insurance, children age 26
01/01/11 PDF Download (119KB) Summary Plan Description – Prudential Grandfathered Life Insurance Policies, children age 26
01/01/11 PDF Download (622KB) 2011 Health Plan and Dental & Vision Plan Marketing Book
2010
12/31/10 PDF Download (106KB) Important Notice – Affordable Care Act Coverage for Children up to Age 26
12/31/10 PDF Download (56KB) Summary Plan Description – Dependent Children Health Benefit Plan Summay Plan
11/03/10 PDF Download (27KB) Member Letter – 2011 Dental and Vision Care Plan Premium Notice & Dependent Children Dental and Vision Care Plan Termination Notice
11/03/10 PDF Download (33KB) Member Letter – Dental and Vision – 2011 Summary of Material Modification and Premium Notice
11/01/10 PDF Download (29KB) Member Letter – Health Plan – Announcing 2011 SAMBA Health Plan Premium and Benefit Changes
10/18/10 PDF Download (26KB) Member Letter – Dental and Vision – Louisiana Dental DMO Cancellation 1/1/2011
10/15/10 PDF Download (600KB) Member Letter – Health Plan – Dependent Children Health Benefit Plan Termination Notice and Summary of Material Modification
08/09/10 PDF Download (54KB) Member Email – Life Insurance – 2010 Employee Benevolent Fund Renewal Notice
01/01/10 PDF Download (285KB) 2010 Health Plan Brochure
2009
12/01/09 PDF Download (26KB) Member Letter – Health Plan – Dependent Children Health Benefit Plan 2010 Premium Notice
11/19/09 PDF Download (56KB) Member Letter – Dental and Vision – 2010 Dental & Vision Plan Premium Notice
07/01/09 PDF Download (129KB) Summary Plan Description – SAMBA Term Life Insurance
06/08/09 PDF Download (15KB) Member Letter – Life Insurance – Changes to Life Insurance Policy Retired Members
06/08/09 PDF Download (15KB) Member Letter – Life Insurance – SAMBA Life Insurance Plan Changes effective 7/1/09 Biweekly Premium/Members Under Age 62
06/08/09 PDF Download (15KB) Member Letter – Life Insurance – SAMBA Life Insurance Plan Changes effective 7/1/09 Monthly Premium/Members Under Age 62
06/08/09 PDF Download (15KB) Member Letter – Life Insurance – SAMBA Life Insurance Plan Changes effective 7/1/09 Biweekly Premium/Members Over Age 62
06/08/09 PDF Download (15KB) Member Letter – Life Insurance – SAMBA Life Insurance Plan Changes effective 7/1/09 Monthly Premium/Members Over Age 62
01/01/09 PDF Download (287KB) 2009 Health Plan Brochure
01/01/09 PDF Download (93KB) Summary Plan Description – 2009 Dental and Vision Plan
2008
11/24/08 PDF Download (38KB) Member Letter – Dental and Vision – 2009 Dental & Vision Plan Premium Notice/Payroll Allotment
11/24/08 PDF Download (38KB) Member Letter – Dental and Vision – 2009 Dental & Vision Plan Premium Notice/Billed Monthly
11/24/08 PDF Download (37KB) Member Letter – Life Insurance – Terrorism Coverage Cancellation
11/24/08 PDF Download (30KB) Member Letter – Health Plan – 2009 Premium Increase Notice Dependent Children Health Benefit Plan/Payroll Allotment
11/24/08 PDF Download (30KB) Member Letter – Health Plan – 2009 Premium Increase Notice Dependent Children Health Benefit Plan/Billed Monthly
11/24/08 PDF Download (33KB) Member Letter – 2009 Premium Changes for both Dependent Children Health Benefit Plan and Dental & Vision Plan/Payroll Allotment
11/24/08 PDF Download (33KB) Member Letter – 2009 Premium Changes for both Dependent Children Health Benefit Plan and Dental & Vision Plan/Billed Monthly
11/01/08 PDF Download (36KB) Member Letter – Health Plan – Announcing 2009 SAMBA Health Plan Premium and Benefit Changes/High Option
11/01/08 PDF Download (42KB) Member Letter – Health Plan – Announcing 2009 SAMBA Health Plan Premium and Benefit Changes/Standard Option
11/01/08 PDF Download (31KB) Letter – Health Plan – Prospective Members 2009 Open Season
01/01/08 PDF Download(438KB) 2008 Health Plan Brochure
2007
11/01/07 PDF Download (35KB) Member Letter – Health Plan – Announcing 2008 SAMBA Health Plan Premium and Benefit Changes/High Option
11/01/07 PDF Download (36KB) Member Letter – Health Plan – Announcing 2008 SAMBA Health Plan Premium and Benefit Changes/Standard Option
03/01/07 PDF Download (37KB) Member Letter – Life Insurance – Elimination of Associate Fee
01/01/07 PDF Download (359KB) 2007 Health Plan Brochure
01/01/07 PDF Download (37KB) Member Letter – Dental and Vision – 2007 Dental and Vision Care Program Updates/Changes
01/01/07 PDF Download (49KB) Member Letter – Life Insurance – Accidental Death and Dismemberment (AD&D) and Terrorism Plan Certificates
01/01/07 PDF Download (51KB) Member Letter – Life Insurance – Personal Accident Insurance (PAI) Plan Important Informtion
2006
11/16/06 PDF Download (49KB) Member Letter – Dental and Vision – 2007 Dental Coverage Updates
11/8/06 PDF Download (39KB) Member Letter – Health Plan – Announcing 2007 SAMBA Health Plan Premium and Benefit Changes/Standard Option
11/08/06 PDF Download (39KB) Member Letter – Health Plan – Announcing 2007 SAMBA Health Plan Premium and Benefit Changes/High Option
02/28/06 PDF Download (121KB) Member Letter – Health Plan – Dependent Children Health Benefit Plan Premium Increase Notice/Payroll Allotment
02/15/06 PDF Download (103KB) Member Letter – Health Plan – Dependent Children Health Benefit Plan Premium Increase Notice/Billed Monthly
01/01/06 PDF Download (995KB) 2006 Health Plan brochure
2005
11/30/05 PDF Download (230KB) Member Letter – Health Plan – Announcing 2006 SAMBA Health Plan Premium and Benefit Changes/Standard Option
11/30/05 PDF Download (230KB) Member Letter – Health Plan – Announcing 2006 SAMBA Health Plan Premium and Benefit Changes/High Option
03/24/05 PDF Download (95KB) Member Letter – SAMBA LegalRx
03/24/05 PDF Download (437KB) LegalRx brochure
2004
11/23/04 PDF Download (160KB) 2004 Medco Preferred Prescriptions Member Guide
11/06/04 PDF Download (160KB) Member Letter – Health Plan – 2005 Member Plan Benefit Highlight Notification
11/04/04 PDF Download (86KB) Member Letter – Health Plan – 2005 New SSEHA Member Plan Benefit Highlight Notification
11/01/04 PDF Download (101KB) Member Letter – Dependent Children’s Health Benefit Plan Notice
09/20/04 PDF Download (107KB) Press Release – Health Plan – SAMBA and SSEHA Merge
09/20/04 PDF Download (140KB) Member Letter – Health Plan – Welcome SSEHA Member to SAMBA
09/20/04 PDF Download (75KB) Member Letter – Health Plan – SSEHA Benefit Changes for 2005
03/25/04 PDF Download (138KB) Member Letter – Election for Board of Directors
01/01/04 PDF Download (243KB) Summary Plan Description – Disability Income Protection
2003
12/17/03 PDF Download (102KB) Member Letter – Life Insurance – SAMBA’s Disability Income Protection Program self-insured effective January 1, 2004
12/17/03 PDF Download (111KB) Member Letter – Life Insurance – SAMBA’s Life Insurance Carrier Changing to Prudential Insurance Company effective January 1, 2004
12/15/03 PDF Download (117KB) Member Letter – Dental and Vision – Dental & Vision Care Program Changes Effective January 1, 2004
11/03/03 PDF Download (122KB) Member Letter – Health Plan – Announcing 2004 SAMBA Health Plan Premium and Benefit Changes
11/01/03 PDF Download (252KB) Summary Plan Description – Prudential Policies: Life Insurance and Personal Accident Insurance
08/07/03 PDF Download (116KB) Member Letter – Health Plan – Medicare members in Carefirst service area
05/19/03 PDF Download (66KB) Member Letter – Health Plan – Dependent Children Health Benefit Plan Premium Increase Notice/Payroll Allotment
05/19/03 PDF Download (54KB) Member Letter – Health Plan – Dependent Children Health Benefit Plan Premium Increase Notice/Billed
05/08/03 PDF Download (132KB) Member Letter – Life Insurance – Disability Income Protection Special Offer thru 6/30/2003
03/01/03 PDF Download (20KB) SAMBA’s Notice of Privacy Practices
01/01/03 PDF Download (247KB) Summary Plan Description – 2003 Dental and Vision Plan
01/01/03 PDF Download (64KB) Summary Plan Description – Life Insurance – Zurich Terrorism Coverage
01/01/03 PDF Download (52KB) Medco Prescription Drug Program FAQ
01/01/03 PDF Download (52KB) Member Letter – Health Plan – Medco Health Preferred Prescriptions Formulary effective 1/1/2003
2002
11/01/02 PDF Download (208KB) Member Letter – Health Plan – Announcing 2003 SAMBA Health Plan Premium and Benefit Changes
03/14/02 PDF Download (132KB) Member Letter – Dental and Vision – Premium Increase Notice effective 4/1/2002/Billed
02/15/02 PDF Download (132KB) Member Bulletin – Dental and Vision – Premium Increase Notice effective 4/7/2002/Payroll Allotment
02/15/02 PDF Download (972KB) Member Letter – Life Insurance – Important Changes to Group Insurance Plans effective 4/7/2002