FOrms & DOCUMENTS

• Blue Cross Blue Shield of IL HMO Booklet
• Dean HMO Booklet
• Dean Prevea HMO Booklet
• Kaiser Georgia HMO with HSA Booklet
• Kaiser Northern California HMO with HSA Booklet

• Kaiser Southern California HMO with HSA Booklet
• Kaiser Colorado HMO with HSA Booklet
• Kaiser Mid-Atlantic HMO with HSA Booklet
• Kaiser Oregon HMO with HSA Booklet

• Critical Illness Certificate Rider

• Supplemental Benefits Program Booklet

All (with the exception of Puerto Rico)

• Pension Plan SPD - RR Donnelley - Part B - All Components
• Annual Funding Notice
• Pension Plan SMM - All Components January 2017

RR Donnelley

• Pension Plan SPD - RR Donnelley - Part A - RR Donnelley Component
• SMM – RR Donnelley June 2016

Moore Wallace

• Pension Plan SPD - Moore Wallace (Pre 2005)
• Pension Plan SPD - Moore Wallace (Post 2005)
• SMM - Moore Wallace (Pre 2001) June 2016
• SMM - Moore Wallace June 2016

Bowne

• Pension Plan SPD - Bowne
• SMM - Bowne June 2016
• 5500 - Bowne

Banta Salaried

• Pension Plan SPD - Banta Employees
• SMM - Banta Salaried June 2016

Banta Hourly

• Pension Plan SPD - Banta Hourly - Specialty Converting
• Pension Plan SPD - Banta Hourly - Book Group
• Pension Plan SPD - Banta Hourly - Danbury
• SMM - Banta Hourly Specialty Converting June 2016
• SMM - Banta Hourly Book Group June 2016
• SMM - Banta Hourly Danbury June 2016

Retiree Medical

• 2025 Retiree Welfare Benefits Plan for Pre-65 Retirees SMM
• 2025 Retiree Welfare Benefits Plan for Post-65 Retirees SMM
• Post-65 Retiree Welfare Benefits Plan SPD
• Pre-65 Retiree Group Health Program SPD

Retiree Medical

• Medicare Advantage Plan Guide ‒ $400 Deductible
• Medicare Advantage Plan Guide ‒ $275 Deductible
• Medicare Advantage Plan Guide ‒ $200 Deductible

• HSA Value
• HSA Advantage
• Copay Advantage
• Copay Edge

• Kaiser Washington

• Kaiser Oregon

• Kaiser Northern California

• Kaiser Southern California

• Kaiser Mid-Atlantic

• HSA Value
• HSA Advantage
• Copay Advantage
• Coupe PPO
• Dean Health Plan Prevea 360

• Dean Health Plan HMO
• Kaiser HSA Plan (Mid-Atlantic States)
• Kaiser HSA Plan (Northern California)
• Kaiser HSA Plan (Southern California)