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Resources for PSHB Members

Looking for plan information or commonly used forms for the Postal Service Health Benefits (PSHB) Program? Get started here.

View 2025 PSHB Plan Documents

2025 PSHB Enrollment Guide Northern California

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2025 PSHB Benefits & Rates Northern California

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2025 PSHB Brochure NCAL RI 73-921

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2025 CA Delta Dental Kaiser Permanente Program

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2025 NCAL PSHB High Option SBC

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2025 NCAL PSHB Standard Option SBC

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2025 NCAL PSHB Prosper SBC

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View 2025 PSHB Medicare Plan Documents

2025 PSHB Guide to Medicare

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One Pass® Fitness Program Flyer

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2025 PSHB Senior Advantage Enrollment Forms NCAL

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Over-the-Counter Wellness Benefit Flyer

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Non-Emergency Transportation Benefit Flyer

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Meal Delivery Benefit Flyer

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Additional 2025 Medicare Documents

2025 PSHB Senior Advantage 2 Enrollment Application

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2025 PSHB Senior Advantage 2 Program Description

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2025 PSHB Senior Advantage 2 Part B Premium Reimbursement Instruction Flyer

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2025 PSHB Senior Advantage 2 Proof of Part B Premium Instructions Form

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2025 PSHB Senior Advantage NCAL Summary of Benefits

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2025 PSHB PDP NCAL Summary of Benefits

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2025 Northern California PSHB Senior Advantage EOC

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2025 Northern California PSHB Medicare Part D (PDP) EOC

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Account Change Form

Use this form to make demographic changes (such as phone number, mailing address). If you need to add or remove and eligible dependent please submit changes directly on the PSHB Online Enrollment website or call the Human Resources Shared Service Center.

Account Change Form

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Other forms and publications

Bariatric Surgery Criteria Overview

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Kaiser Permanente PSHB Plans Infertility Coverage

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Transgender Care and Coverage for PSHB Members

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Kaiser Permanente PSHB Contraceptive Exception Overview

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