Wednesday, March 19, 2025

Health Care Documents

Health Care Recent Mailings
Health Care Recent Mailings
LiveHealth Online Program
Preventative Benefits Updates
Gene Therapy
Rate Increase 5/1/2024 Notice to Participants
UM CM Vendor Conifer- Notice to Participants
Health Care Forms
Health Care Forms
Active Election Form 2025
Early Retirement Election Form 2025
Medicare Retiree Election Form 2025
Paquete de Inscripción  para los Albañiles de Ohio Activos 2025
Dependent Coverage
COBRA continuation
Vital Information Form
PHI form
Privacy Practices
Vision and Dental Reimbursement Form
Short Term Disability Claim Form
HRA Reimbursement Form
Automatic Enrollment - HRA Reimbursement from Dollar Bank
Dollar Bank Donation Recipient
Dollar Bank Donation Donor
Monthly Self Payment Pension Deduction Authorization Form
Health Care Amendments and Changes
Health Care Amendments and Changes
COMING SOON
Health Care Documents / Summary Plan Description
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