| Notice Date | PDF File / Link | Article or Document |
|---|---|---|
| 2020 | ||
| 02/17/20 |  (400KB) |
HealthWise Newsletter – Winter 2020 |
| 11/15/19 | (158KB) |
Member Letter – 2020 Dental and Vision Plan |
| 11/15/19 | (143KB) |
Dental & Vision Summary of Material Modifications – Effective January 1, 2020 |
| 11/01/19 | (134KB) |
2020 High Option Rx Benefits |
| 11/01/19 | (167KB) |
Member Letter – Your 2020 SAMBA Standard Option Health Plan |
| 11/01/19 | (169KB) |
Member Letter – Your 2020 SAMBA High Option Health Plan |
| 2019 | ||
| 12/19/19 | Express Scripts 2019 | 2019 Pharmacy Information (Price a Medication, Locate a Pharmacy) |
| 10/03/19 | (1031KB) |
HealthWise Newsletter – Fall 2019 |
| 07/25/19 | (373KB) |
HealthWise Newsletter – Summer 2019 |
| 05/15/19 | (1453KB) |
HealthWise Newsletter – Spring 2019 |
| 02/15/19 | (472KB) |
HealthWise Newsletter – Winter 2019 |
| 01/01/19 | (715KB) |
2019 Standard Option Health Plan Summary Pamphlet |
| 01/01/19 | (173KB) |
2019 Summary of Benefits and Coverage (SBC): Standard Option |
| 01/01/19 | (173KB) |
2019 Summary of Benefits and Coverage (SBC): High Option |
| 01/01/19 | (331KB) |
2019 Dental & Vision Plan Summary Pamphlet |
| 01/01/19 | (354KB) |
2019 SAMBA Health Plan Brochure |
| 10/26/18 | (67KB) |
Member Letter – Your 2019 SAMBA Standard Option Health Plan |
| 10/26/18 | (66KB) |
Member Letter – Your 2019 SAMBA High Option Health Plan |
| 2018 | ||
| 12/18/18 | (552KB) |
HealthWise Newsletter – Fall 2018 |
| 11/12/18 | (61KB) |
Dental & Vision Plan Member Notice |
| 10/15/18 | (63KB) |
2018 Medicare Part D Notice |
| 08/15/18 | (405KB) |
HealthWise Newsletter – Summer 2018 |
| 04/15/18 | (627KB) |
HealthWise Newsletter – Spring 2018 |
| 01/15/18 |  (538KB) |
HealthWise Newsletter – Winter 2018 |
| 01/01/18 | (17KB) |
2018 Health Plan Option Comparison |
| 01/01/18 | (340KB) |
2018 Standard Option Health Plan Summary Pamphlet |
| 01/01/18 | (176KB) |
2018 Summary of Benefits and Coverage (SBC): Standard Option |
| 01/01/18 | (176KB) |
2018 Summary of Benefits and Coverage (SBC): High Option |
| 01/01/18 | (758KB) |
2018 Dental & Vision Plan Summary Pamphlet |
| 01/01/18 | (358KB) |
2018 SAMBA Health Plan Brochure |
| 10/30/17 | (68KB) |
Member Letter – Your 2018 SAMBA Standard Option Health Plan |
| 10/30/17 | (68KB) |
Member Letter – Your 2018 SAMBA High Option Health Plan |
| 2017 | ||
| 10/15/17 | (52KB) |
2017 Medicare Part D Notice |
| 08/01/17 | (232KB) |
HealthWise Newsletter – Summer 2017 |
| 04/01/17 | (121KB) |
HealthWise Newsletter – Spring 2017 |
| 01/01/17 | (335KB) |
2017 Health Plan Brochure |
| 01/01/17 | (17KB) |
2017 Health Plan Option Comparison |
| 01/01/17 | (250KB) |
2017 Summary of Benefits and Coverage (SBC): Standard Option |
| 01/01/17 | (251KB) |
2017 Summary of Benefits and Coverage (SBC): High Option |
| 01/01/17 | (327KB) |
2017 Standard Option Health Plan Marketing Pamphlet |
| 01/01/17 | (297KB) |
2017 Dental & Vision Plan Marketing Pamphlet |
| 10/26/16 | (67KB) |
Member Letter – The 2017 SAMBA High Option Health Plan |
| 10/26/16 | (67KB) |
Member Letter – The 2017 SAMBA Standard Option Health Plan |
| 2016 | ||
| 12/01/16 |  (817KB) |
HealthWise Newsletter – Winter 2016.2 |
| 07/01/16 | (197KB) |
HealthWise Newsletter – Summer 2016 |
| 05/01/16 | (497KB) |
HealthWise Newsletter – Spring 2016 |
| 03/01/16 | (1060KB) |
HealthWise Newsletter – Winter 2016 |
| 01/01/16 | (350KB) |
2016 Health Plan Brochure |
| 01/01/16 | (16KB) |
2016 Health Plan Option Comparison |
| 01/01/16 | (253KB) |
2016 Summary of Benefits and Coverage (SBC): Standard Option |
| 01/01/16 | (252KB) |
2016 Summary of Benefits and Coverage (SBC): High Option |
| 01/01/16 | (56KB) |
2016 Express Scripts National Preferred Formulary |
| 01/01/16 | (50KB) |
Self Plus One Enrollment Type FAQs |
| 01/01/16 | (1451KB) |
2016 Standard Option Health Plan Marketing Book |
| 01/01/16 | (293KB) |
2016 Dental & Vision Plan Marketing Pamphlet |
| 10/26/15 | (130KB) |
Transition to Express Scripts Frequently Asked Questions |
| 10/26/15 | (6131KB) |
Member Letter – Your 2016 SAMBA Health Plan – Standard Option |
| 10/26/15 | (6144KB) |
Member Letter – The 2016 SAMBA Health Plan – High Option |
| 2015 | ||
| 01/01/15 | (8565KB) |
2015 Health Plan and Dental & Vision Plan Marketing Book |
| 01/01/15 | (251KB) |
2015 Summary of Benefits and Coverage (SBC): Standard Option |
| 01/01/15 | (251KB) |
2015 Summary of Benefits and Coverage (SBC): High Option |
| 01/01/15 | (15KB) |
2015 Health Plan Option Comparison |
| 01/01/15 | (15KB) |
2015 Health Plan Brochure |
| 11/01/14 | (99KB) |
Member Letter -Your 2015 SAMBA Standard Option Health Plan |
| 11/01/14 | (101KB) |
Member Letter -Your 2015 SAMBA High Option Health Plan |
| 2014 | ||
| 12/19/14 | (947KB) |
Disability Summary of Material Modifications |
| 07/01/14 | (76KB) |
Healthwise July 2014 Newsletter |
| 01/01/14 | (52KB) |
2014 Medicare Part D Notice |
| 01/01/14 | (250KB) |
Summary of Benefits and Coverage (SBC) High Option |
| 01/01/14 | (250KB) |
Summary of Benefits and Coverage (SBC) Standard Option |
| 01/01/14 | (332KB) |
2014 Health Plan Brochure |
| 01/01/14 | (744KB) |
2014 Health Plan and Dental & Vision Plan Marketing Book |
| 11/01/13 | (37KB) |
Member Letter – Your 2014 SAMBA Health Plan – High Option |
| 11/01/13 | (35KB) |
Member Letter – Your 2014 SAMBA Health Plan – Standard Option |
| 2013 | ||
| 10/01/13 | (52KB) |
Important Notice About Prescription Drug Coverage and Medicare |
| 05/01/13 | (319KB) |
SAMBA’s Notice of Privacy Practices |
| 01/01/13 | (319KB) |
2013 Health Plan Brochure |
| 01/01/13 | (5MB) |
2013 Health Plan and Dental & Vision Plan Marketing Book |
| 11/01/13 | (39KB) |
Member Letter – Health Plan – Announcing 2013 SAMBA Health Plan Premium and Benefit Changes |
| 2012 | ||
| 11/01/12 | (27KB) |
Transition to CVS Caremark – FAQ |
| 10/19/12 | (26KB) |
Member Letter – Life Insurance – ReliaStar/ING new underwriter Group Term Life |
| 10/19/12 | (164KB) |
Member Letter – Life Insurance – ReliaStar/ING new underwriter Personal Accident Insurance |
| 09/14/12 | (51KB) |
Member Letter – Life Insurance – ReliaStar/ING new underwriter Employee Benevolent Fund |
| 09/04/12 | (52KB) |
Member Letter – Life Insurance – ReliaStar/ING new underwriter Over Age 70 Group Term Life |
| 09/01/12 | (218KB) |
Life Insurance – ING Travel Assistance |
| 09/01/12 | (208KB) |
Life Insurance – ING Everest Funeral Planning and Concierge Benefit |
| 09/01/12 | (456KB) |
Summary Plan Description – ING Employee Benevolent Fund, ATF only |
| 09/01/12 | (454KB) |
Summary Plan Description – ING Employee Benevolent Fund, all agencies except ATF |
| 08/08/12 | (85KB) |
Member Email – Employee Benevolent Fund Annual Renewal Notice |
| 04/30/12 | (84KB) |
Member Letter – Health Plan – General Information |
| 04/02/12 | (50KB) |
Important Notice – Express Scripts and Medco Health Solution Complete Merger |
| 01/01/12 | (310KB) |
2012 Health Plan Brochure |
| 01/01/12 | (39KB) |
Summary Plan Description – Dental and Vision Plan |
| 2011 | ||
| 11/15/11 | (183KB) |
Member Letter – Dental and Vision – 2012 Dental & Vision Premium Increase |
| 11/01/11 | (89KB) |
Member Letter – Health Plan – Announcing 2012 SAMBA Health Plan Premium and Benefit Changes |
| 10/26/11 | (90KB) |
Member Letter – Dental and Vision – Alaska Dental DMO Cancellation 01/01/2012 |
| 07/05/11 | (7KB) |
Member Letter – Disability Income Protection Plan Special Offer Allotment Members |
| 07/05/11 | (7KB) |
Member Letter – Disability Income Protection Plan Special Offer Bill Pay Members |
| 01/01/11 | (277KB) |
2011 Health Plan Brochure |
| 01/01/11 | (138KB) |
Summary Plan Description – SAMBA Term Life Insurance, children age 26 |
| 01/01/11 | (119KB) |
Summary Plan Description – Prudential Grandfathered Life Insurance Policies, children age 26 |
| 01/01/11 | (622KB) |
2011 Health Plan and Dental & Vision Plan Marketing Book |
| 2010 | ||
| 12/31/10 | (106KB) |
Important Notice – Affordable Care Act Coverage for Children up to Age 26 |
| 12/31/10 | (56KB) |
Summary Plan Description – Dependent Children Health Benefit Plan Summay Plan |
| 11/03/10 | (27KB) |
Member Letter – 2011 Dental and Vision Care Plan Premium Notice & Dependent Children Dental and Vision Care Plan Termination Notice |
| 11/03/10 | (33KB) |
Member Letter – Dental and Vision – 2011 Summary of Material Modification and Premium Notice |
| 11/01/10 | (29KB) |
Member Letter – Health Plan – Announcing 2011 SAMBA Health Plan Premium and Benefit Changes |
| 10/18/10 | (26KB) |
Member Letter – Dental and Vision – Louisiana Dental DMO Cancellation 1/1/2011 |
| 10/15/10 | (600KB) |
Member Letter – Health Plan – Dependent Children Health Benefit Plan Termination Notice and Summary of Material Modification |
| 08/09/10 | (54KB) |
Member Email – Life Insurance – 2010 Employee Benevolent Fund Renewal Notice |
| 01/01/10 | (285KB) |
2010 Health Plan Brochure |
| 2009 | ||
| 12/01/09 | (26KB) |
Member Letter – Health Plan – Dependent Children Health Benefit Plan 2010 Premium Notice |
| 11/19/09 | (56KB) |
Member Letter – Dental and Vision – 2010 Dental & Vision Plan Premium Notice |
| 07/01/09 | (129KB) |
Summary Plan Description – SAMBA Term Life Insurance |
| 06/08/09 | (15KB) |
Member Letter – Life Insurance – Changes to Life Insurance Policy Retired Members |
| 06/08/09 | (15KB) |
Member Letter – Life Insurance – SAMBA Life Insurance Plan Changes effective 7/1/09 Biweekly Premium/Members Under Age 62 |
| 06/08/09 | (15KB) |
Member Letter – Life Insurance – SAMBA Life Insurance Plan Changes effective 7/1/09 Monthly Premium/Members Under Age 62 |
| 06/08/09 | (15KB) |
Member Letter – Life Insurance – SAMBA Life Insurance Plan Changes effective 7/1/09 Biweekly Premium/Members Over Age 62 |
| 06/08/09 | (15KB) |
Member Letter – Life Insurance – SAMBA Life Insurance Plan Changes effective 7/1/09 Monthly Premium/Members Over Age 62 |
| 01/01/09 | (287KB) |
2009 Health Plan Brochure |
| 01/01/09 | (93KB) |
Summary Plan Description – 2009 Dental and Vision Plan |
| 2008 | ||
| 11/24/08 | (38KB) |
Member Letter – Dental and Vision – 2009 Dental & Vision Plan Premium Notice/Payroll Allotment |
| 11/24/08 | (38KB) |
Member Letter – Dental and Vision – 2009 Dental & Vision Plan Premium Notice/Billed Monthly |
| 11/24/08 | (37KB) |
Member Letter – Life Insurance – Terrorism Coverage Cancellation |
| 11/24/08 | (30KB) |
Member Letter – Health Plan – 2009 Premium Increase Notice Dependent Children Health Benefit Plan/Payroll Allotment |
| 11/24/08 | (30KB) |
Member Letter – Health Plan – 2009 Premium Increase Notice Dependent Children Health Benefit Plan/Billed Monthly |
| 11/24/08 | (33KB) |
Member Letter – 2009 Premium Changes for both Dependent Children Health Benefit Plan and Dental & Vision Plan/Payroll Allotment |
| 11/24/08 | (33KB) |
Member Letter – 2009 Premium Changes for both Dependent Children Health Benefit Plan and Dental & Vision Plan/Billed Monthly |
| 11/01/08 | (36KB) |
Member Letter – Health Plan – Announcing 2009 SAMBA Health Plan Premium and Benefit Changes/High Option |
| 11/01/08 | (42KB) |
Member Letter – Health Plan – Announcing 2009 SAMBA Health Plan Premium and Benefit Changes/Standard Option |
| 11/01/08 | (31KB) |
Letter – Health Plan – Prospective Members 2009 Open Season |
| 01/01/08 | (438KB) |
2008 Health Plan Brochure |
| 2007 | ||
| 11/01/07 | (35KB) |
Member Letter – Health Plan – Announcing 2008 SAMBA Health Plan Premium and Benefit Changes/High Option |
| 11/01/07 | (36KB) |
Member Letter – Health Plan – Announcing 2008 SAMBA Health Plan Premium and Benefit Changes/Standard Option |
| 03/01/07 | (37KB) |
Member Letter – Life Insurance – Elimination of Associate Fee |
| 01/01/07 | (359KB) |
2007 Health Plan Brochure |
| 01/01/07 | (37KB) |
Member Letter – Dental and Vision – 2007 Dental and Vision Care Program Updates/Changes |
| 01/01/07 | (49KB) |
Member Letter – Life Insurance – Accidental Death and Dismemberment (AD&D) and Terrorism Plan Certificates |
| 01/01/07 | (51KB) |
Member Letter – Life Insurance – Personal Accident Insurance (PAI) Plan Important Informtion |
| 2006 | ||
| 11/16/06 | (49KB) |
Member Letter – Dental and Vision – 2007 Dental Coverage Updates |
| 11/8/06 | (39KB) |
Member Letter – Health Plan – Announcing 2007 SAMBA Health Plan Premium and Benefit Changes/Standard Option |
| 11/08/06 | (39KB) |
Member Letter – Health Plan – Announcing 2007 SAMBA Health Plan Premium and Benefit Changes/High Option |
| 02/28/06 | (121KB) |
Member Letter – Health Plan – Dependent Children Health Benefit Plan Premium Increase Notice/Payroll Allotment |
| 02/15/06 | (103KB) |
Member Letter – Health Plan – Dependent Children Health Benefit Plan Premium Increase Notice/Billed Monthly |
| 01/01/06 | (995KB) |
2006 Health Plan brochure |
| 2005 | ||
| 11/30/05 | (230KB) |
Member Letter – Health Plan – Announcing 2006 SAMBA Health Plan Premium and Benefit Changes/Standard Option |
| 11/30/05 | (230KB) |
Member Letter – Health Plan – Announcing 2006 SAMBA Health Plan Premium and Benefit Changes/High Option |
| 03/24/05 | (95KB) |
Member Letter – SAMBA LegalRx |
| 03/24/05 | (437KB) |
LegalRx brochure |
| 2004 | ||
| 11/23/04 | (160KB) |
2004 Medco Preferred Prescriptions Member Guide |
| 11/06/04 | (160KB) |
Member Letter – Health Plan – 2005 Member Plan Benefit Highlight Notification |
| 11/04/04 | (86KB) |
Member Letter – Health Plan – 2005 New SSEHA Member Plan Benefit Highlight Notification |
| 11/01/04 | (101KB) |
Member Letter – Dependent Children’s Health Benefit Plan Notice |
| 09/20/04 | (107KB) |
Press Release – Health Plan – SAMBA and SSEHA Merge |
| 09/20/04 | (140KB) |
Member Letter – Health Plan – Welcome SSEHA Member to SAMBA |
| 09/20/04 | (75KB) |
Member Letter – Health Plan – SSEHA Benefit Changes for 2005 |
| 03/25/04 | (138KB) |
Member Letter – Election for Board of Directors |
| 01/01/04 | (243KB) |
Summary Plan Description – Disability Income Protection |
| 2003 | ||
| 12/17/03 | (102KB) |
Member Letter – Life Insurance – SAMBA’s Disability Income Protection Program self-insured effective January 1, 2004 |
| 12/17/03 | (111KB) |
Member Letter – Life Insurance – SAMBA’s Life Insurance Carrier Changing to Prudential Insurance Company effective January 1, 2004 |
| 12/15/03 | (117KB) |
Member Letter – Dental and Vision – Dental & Vision Care Program Changes Effective January 1, 2004 |
| 11/03/03 | (122KB) |
Member Letter – Health Plan – Announcing 2004 SAMBA Health Plan Premium and Benefit Changes |
| 11/01/03 | (252KB) |
Summary Plan Description – Prudential Policies: Life Insurance and Personal Accident Insurance |
| 08/07/03 | (116KB) |
Member Letter – Health Plan – Medicare members in Carefirst service area |
| 05/19/03 | (66KB) |
Member Letter – Health Plan – Dependent Children Health Benefit Plan Premium Increase Notice/Payroll Allotment |
| 05/19/03 | (54KB) |
Member Letter – Health Plan – Dependent Children Health Benefit Plan Premium Increase Notice/Billed |
| 05/08/03 | (132KB) |
Member Letter – Life Insurance – Disability Income Protection Special Offer thru 6/30/2003 |
| 03/01/03 | (20KB) |
SAMBA’s Notice of Privacy Practices |
| 01/01/03 | (247KB) |
Summary Plan Description – 2003 Dental and Vision Plan |
| 01/01/03 | (64KB) |
Summary Plan Description – Life Insurance – Zurich Terrorism Coverage |
| 01/01/03 | (52KB) |
Medco Prescription Drug Program FAQ |
| 01/01/03 | (52KB) |
Member Letter – Health Plan – Medco Health Preferred Prescriptions Formulary effective 1/1/2003 |
| 2002 | ||
| 11/01/02 | (208KB) |
Member Letter – Health Plan – Announcing 2003 SAMBA Health Plan Premium and Benefit Changes |
| 03/14/02 | (132KB) |
Member Letter – Dental and Vision – Premium Increase Notice effective 4/1/2002/Billed |
| 02/15/02 | (132KB) |
Member Bulletin – Dental and Vision – Premium Increase Notice effective 4/7/2002/Payroll Allotment |
| 02/15/02 | (972KB) |
Member Letter – Life Insurance – Important Changes to Group Insurance Plans effective 4/7/2002 |
Enjoy Peace of Mind When You Choose SAMBA
