Central Valley Retiree Medical Trust

Documents

Amendment 13
Amendment 14
Amendment 15
Amendment 16
Amendment 17
Summary Plan Description
Restated Plan

Notices

Notice of Privacy Practices
Notice SMM Amendment 15 – Monthly Proof of Premium Payment for Claims (January 1, 2022)
Notice SMM Amendment 14 - Monthly Verification Premium Claims - Required for Claim (January 1, 2022)
Notice SMM Pre-Tax Premium Prohibition
Summary Annual Report (2022)

Summary Annual Report (2021)

Summary Annual Report (2020)
Change of Administrator (2020)
Summary Annual Report (2023)

Forms

CVRMT Direct Deposit Form
CVRMT Claim Form
CVRMT Participant Data Form
Pub. 502 - IRS Medical & Dental Expenses
CVRMT Medical Expense Reimbursement form

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