
Salaried HRA Plan Participants
Salaried Premier HSA Plan Participants
Separation Medical Plan Participants
Union HRA Plan Participants
Union Premier HSA Plan Participants
Union Retiree Plan Participants
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
- OneTouch Reveal® Plus Digital Diabetes Coach PDF
- Opioid Crisis Resources PDF
- Teladoc Health Medical Experts 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 »