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Rural Carrier Benefit Plan
Providing superior service to rural letter carriers nationwide
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Official Plan Documents

Below are official plan documents you may need to properly understand or receive benefits under your plan.

Forms & Documents Library
Title Download
Claim Form - Medical PDF
Claim Form - Prescription, Retail Pharmacy PDF
Claim Form - Mail Order Prescription PDF
Summary of Benefits - 2018 PDF
Summary of Benefits - 2017 PDF
Official Plan Brochure - 2018 PDF
Official Plan Brochure - 2017 PDF
Prescription Drug Guide - All Other Drugs PDF
Prescription Drug Guide - Specialty Drugs PDF
Prescription Drug Guide/Formulary PDF
Provider Nomination Form PDF