Benefits Newsletters, Notices, Forms

2017 Fall Benefits Newsletters, Manager Memos and Unit Posters 

2017 Fall Benefits Newsletters (rev.): (English)/(Spanish

2017 Fall Benefits Newsletter - Rx Page 5 (rev.): English  

Manager Memos (English)/(Spanish

Unit Posters (English)/(Spanish) 

Notices

Marketplace Notice - Medical Eligible 

Marketplace notice - Medical Ineligible

Notice of Privacy Practices - PR (Spanish)

Notice of Privacy Practices - US, Guam and Virgin Islands

Summary Annual Reports & CHIP Notices:

  • 2016 SHC Summary Annual Report - Active
  • 2016 SHC Summary Annual Report - COBRA
  • 2016 SHC Summary Annual Report - Inactive     

Forms

BCBS of IL Transition of Care Form

2017 Form 1095-C  

If you elected to receive your 2017 Form 1095-C (Employer-Provided Health Insurance Offer and Coverage Form) electronically before 12/31/2017 and were notified it is available, click here to access the form. Paper versions of the form will be mailed out February 1st.  Note: Part III of the form "Covered Individuals" will be blank because the Sears Holdings Medical Plan is not self-insured.   If you have any questions about this form, please contact the Sears Holdings Benefits Center at 88SEARS (1-888-887-3277).  Choose option 1 for health and financial benefits.