Inlandboatmen's Union of the Pacific National Benefit Benefit Funds

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Health Care Documents

Health Care Recent Mailings

Announcements

	2020 COBRA Subsidized Premium Extension 9.1.2020

	IBU Health COBRA Subisidy 6.1.2020

	IBU Teladoc Benefit Announcement 6.1.2020

	Kaiser Coronavirus Communication March 2020

	HMSA Coronavirus News Release March 2020

	Free Drive-up COVID-19 Testing in Anchorage Alaska

	Kaiser Permanente Temporary Care Delivery Changes due to COVID-19, 3.20.2020

	IBU Health Plan Update News Realase 3.20.2020

	Kaiser- Your Care Your Way Packet 4.3.20

	HMSA-Hawaii's COVID-19 Community-based Risk Model

	HMSA COVID-19 Update 5.8.2020

	HMSA News Release - Waives COVID19 related copayments

	Kaiser Mental Health-Resources 6.2020

	Kaiser Mindfulness and Self-Care Resources_4.28.2020

	Kaiser Telehealth Options During-COVID-19

	Kaiser Calm App for Self Care

Health Care Documents / Summary Plan Description

	Uniform Glossary of Health Coverage and Medical Terms

	Moda Vaccine Flyer

	Notice of Nondiscrimination

	Privacy Notice

	IBU Rx Plan FAQ

	IBU NHBT PPO Plan Benefit Book - SPD 1.1.2024

	IBU NHBT PPO Plan Benefit Book - SPD Cover Letter 1.1.2024

Health Care Forms

	Trust Plan Enrollment Form

	Privacy-Authorization Form for Release of PHI

	Beneficiary Form

	HMSA Enrollment form 2019

	Medical Plan Claim Form

	Dental Plan Claim Form

	Vision Claim Form

	Rx Postal Prescripion Services

	RX Claim Form for a Compounded Prescription

	RX Claim Form

	Supplemental Claim Form

	Transportation and Alternative Housing Claim Form

	Domestic Partner Autopay Form

	Domestic Partner Affidavit

	Timeloss and Disability Waiver Form

	HMSA Hawaii Enrollment Form

	Kaiser Hawaii Enrollment Form

	Kaiser N. CA Enrollment Form

	OTC COVID Test Claim Form

Summary of Benefits and Coverages

Plan Fillings and Documents

	Health- 5500 for the plan year ending December 31, 2018

	HRA- 5500 for the plan year ending December 31, 2018

	IBU Health 5500 2019

	IBU HRA 5500 2019