Policies and forms for your health plan
Access the forms, medical policies, and privacy policies you need to make the most of your APWU Health Plan benefits.
Policies & Forms
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Health Benefits Election Form (SF2809)
Complete this form if you are an employee eligible to enroll in health benefits.
APWU Health Plan Rx Drug Reimbursement Form
Request payment for covered medications under your Medicare Part D benefits.
APWU Health Plan Prescription Drug Claim Form
Request payment for covered medications under your High Option plan.
APWU Health Plan Dental Claim Form
Request payment for covered dental services under your High Option plan.
APWU Health Plan Health Insurance Claim Form
Request payment for covered medical services under your High Option plan.
Form PS3120: Sufficient Earnings Verification for Non-career Employees
Verify that your earnings will cover the withholding of your health plan premiums.
Form PS3119: Elect or Waive Pretax Health Plan Premium Payments
Begin or stop pretax treatment of your contributions toward your health plan premiums.
Form PS3117: PostalEASE Worksheet for Non-career USPS Employees
Enroll in your health benefits, change your enrollment, or cancel your enrollment.