NWPP Forms & Document Library

Find important forms and documents, recent notices, and other resources for NWPP plan participants.

Plan Information

PPO Plan

Alternate Plan: Medical Coverage Only

Summary Plan Description Booklet

Retiree Plan

Delta Dental

Medical Information & Forms

Privacy & Disclosure

Plan Amendment Notices

Date	Amendment	Who it impacts
Date 08/18/2023	Amendment SMM - Weekly Disability Benefit & Telemedicine Extension	Who it impacts All Plan Participants
Date 12/02/2022	Amendment New Dental PPO - Effective January 1, 2023	Who it impacts Active Plan Participants
Date 09/30/2022	Amendment SMM - Hearing Aid Benefit Changes	Who it impacts Eligible Plan Participants
Date 09/30/2022	Amendment SMM - Maternity Benefit Changes	Who it impacts All Plan Participants
Date 03/18/2022	Amendment SMM - Benefit Changes	Who it impacts Eligible Plan Participants
Date 12/08/2021	Amendment No Surprises Act Notice	Who it impacts Eligible Plan Participants
Date 12/04/2020	Amendment SMM - Benefit Changes	Who it impacts Eligible Plan Participants
Date 09/14/2020	Amendment New Medicare Part D Prescription Drug Plan	Who it impacts Medicare Eligible Retirees, Spouses and Dependents
Date 05/12/2020	Amendment Transfer Between Retiree Plans - Effective January 1, 2020	Who it impacts Eligible Plan Participants
Date 04/24/2020	Amendment SMM - Temporary Benefit Changes & Telemedicine	Who it impacts Eligible Plan Participants
Date 03/18/2020	Amendment SMM - Response to COVID-19 Outbreak	Who it impacts Eligible Plan Participants
Date 01/31/2020	Amendment SMM - Prescription Drug Program Changes - Effective April 1, 2020	Who it impacts Eligible Participants
Date 05/2/2016	Amendment Weekly Disability Benefit Change Effective 5/1/2016	Who it impacts Eligible Plan Participants
Date 11/30/2015	Amendment Benefit Changes Effective 1/1/2016	Who it impacts Eligible Plan Participants and Beneficiaries

Plan Notices