Salaried HRA Plan Participants

• 2023 Salaried HRA Plan Member Reference Guide PDF

Salaried Premier HSA Plan Participants

• 2023 Premier HSA Plan Member Reference Guide PDF

Separation Medical Plan Participants

• 2023 Separation Medical Plan Member Reference Guide PDF

Union HRA Plan Participants

• 2023 Union HRA Plan Member Reference Guide PDF

Union Premier HSA Plan Participants

• 2023 Union Premier HSA Plan Member Reference Guide PDF

Union Retiree Plan Participants

• Union Retiree 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

• 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 »