Forms & Resources
Summary Plan Documents
- SCMA MIT 2022 Summary Plan Document – Effective 1/1/2022
- Click Here to order a paper copy of the Summary Plan Document
- SCMA MIT 2023 Summary Plan Tables – Effective 1/1/2023
Summary of Benefits and Coverage
2022 Plans
High Deductible
Major Medical
Preferred
Auto-Draft Forms
Embedded Benefits
- Basic Accidental Death and Dismemberment Insurance
- Basic Life Insurance
- Short Term Disability
- Trust Paid Basic Life/AD&D Program Flyer View
- Trust Paid Short Term Disability Program Flyer View
Voluntary Benefits
- Voluntary Accidental Death and Dismemberment Insurance
- Voluntary Life Insurance
- Voluntary Life and Accidental Death and Dismemberment (AD&D) Insurance Flyer View
Virtual Care
Claims Forms
- Sun Life Short Term Disability Claim Forms
- Sun Life Enrollment Form
- OptumRx Prescription Reimbursement Request Form
- COVID-19 At-Home Test Member Reimbursement Form
Additional Resources
- JetHealth Portal | JetHealth Group Portal User Guide
- PAI Member Portal | Quick Start Guide
- SCMA MIT HIPAA Notice of Privacy Practices
- OptumRx Formulary and Drug Lists
- Transparency in Coverage Rule
- This link leads to the machine-readable files that are made available in response to the federal Transparency in Coverage Rule and includes negotiated service rates and out-of-network allowed amounts between health plans and healthcare providers. The machine-readable files are formatted to allow researchers, regulators, and application developers to more easily access and analyze data.
