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Plan Documents & Forms

U-M Health Regional Network Welfare Plan Document & Summary Plan Description (SPD)

UM Health-Sparrow Maintenance Medication List

UM Health-Sparrow ONLY: QLE Benefit Change & Election Form

HSA Transfer Account Balance To WEX Request Form

BCBSM – Member Handbook

BCBSM – Provider Network Lookup Flyer

BCBSM – How to Register Flyer

BCBSM – Mobile App Flyer

BCBSM – Member Discounts Flyer

BCBSM – Blue365 Active & Fit Member Discount Flyer

BCBSM – Online Well-Being Member Resources Flyer

UNUM – Beneficiary Designation Form

WEX HSA Contribution Change Form – UM Health-Sparrow ONLY