HSA Plan

• 2025 HSA Plan Member Reference Guide PDF

HSA Union Plan

• 2025 HSA Union Plan Member Reference Guide PDF

EPO Plan

• 2025 EPO Plan Member Reference Guide PDF

PPO Plan

• 2025 PPO Plan Member Reference Guide PDF

PPO Union Plan

• 2025 PPO Union Plan Member Reference Guide PDF

Claim Forms

• Health Insurance Claim Form PDF
• Pre-Determination of Medical Benefits PDF
• Transition Coverage Request PDF
• Dental Benefits Request PDF
• Health Care FSA and Dependent Care FSA PDF

Important Additional Information

• Opioid Crisis Resources PDF
• 2nd.MD Second Opinion PDF
• CareConnect Program PDF
• Johnson & Johnson Preventive Care Services PDF
• Information on Back and Neck Pain from DePuy Spine »
• Inpatient Safety Guide PDF
• Advocacy Connector – Locate patient & caregiver resources for help meeting needs for cancer and other serious medical conditions »
• Johnson & Johnson Manufactured/Marketed Prescription Drugs PDF
• Johnson & Johnson Prescription Drug List – 60% Plan Coverage PDF
• For information on your prescription drug benefit, please visit the Express Scripts website at www.express-scripts.com/jnj, or call Express Scripts Member Services at 1-866-713-7779.
• Express Scripts Premier HSA Prescription Drug Bypass List PDF
• Evivo infant probiotic »