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Health Care Documents

Health Care Recent Mailings

	LiveHealth Online Program

	Preventative Benefits Updates

	Gene Therapy

	UM CM Vendor Conifer- Notice to Participants

	Vision Benefit - VSP 5/1/2025 - Summary Material Modification

	Summary Annual Report 2024

	Participant Notice of Conduent Security Incident

	Member Benefit Guide 2025

Health Care Forms

	ACTIVES ELECTION FORM 2026

	EARLY RETIREES' ELECTION FORM 2026

	MEDICARE RETIREES' ELECTION FORM 2026

	Dependent Coverage

	COBRA continuation

	Vital Information Form

	Privacy Practices

	PHI form

	Paquete de Inscripción para los Albañiles de Ohio Activos 2026

	Short Term Disability Claim Form

	Dental Reimbursement Form 2025

	Automatic Enrollment - HRA Reimbursement from Dollar Bank

	HRA Reimbursement Form

	Dollar Bank Donation Recipient

	Dollar Bank Donation Donor

Health Care Amendments and Changes

Health Care Documents / Summary Plan Description

	Health & Welfare Summary Plan Description 1-1-19

	Health & Welfare Plan

	Anthem Live health OH-KY

	Anthem Live Health WV

	No Surprise Billing

	Ohio Bricklayers Website Registration

	CHIPRA Model Notice 2025

Newsletters