Member Forms and Documents
Looking for Your Benefit Summary and Other Plan Documents?
To find summaries of benefits and coverage, evidence of coverage (member handbook) documents, and more, click on the button below that corresponds to the type of plan you have.
Member Forms, Newsletters, and Shared Decision-Making Tools
Federal employee (FEHB) members: If a form below indicates in the second column that it applies to FEHB, you may use it. Any form without this indication in the second column is not intended for use for FEHB members.