Saturday, July 25, 2026

Health Care Documents

Recent Mailings
Recent Mailings
Local 598 Health Fair Post Card 2026
Active HRA SMM Update & Spousal Authorization Mailer 7.07.2026
Retiree Spousal Authorization Mailer 7.07.2026
HRA Forfeiture Rule Effective 7.1.25
Coalition Health Center
HRA $0.35 Contribution 6.1.25
October 2024 Local 598 Health Fair
LU598 Health Changes 6.20.24
HRA Benny Card FAQs
HRA Benny Card Change 2.1.2024
HRA User Guide
Medicare RetireeFirst Humana Notice 10.23
Medicare RetireeFirst Humana FAQ
Canopy Mailing 10.2023
Annual Notices HW 2023
Delta Dental
COVID-19 Interim Benefits
Teledoc FAQ
Health Care Forms
Health Care Forms
Local 598 Medical Claim Form (Fillable)
Local 598 HRA Claim Form (Fillable)
Local 598 Spousal Authorization Form (Fillable)
Local 598 HRA Direct Deposit Form (Fillable)
Local 598 HRA Bennycard Transaction Dispute Form (Fillable)
Local 598 CVS/Caremark New Paper Claim Form (Fillable)
Local 598 Active Enrollment Form 2026 (Fillable)
Local 598 Medicare Retiree Enrollment Form 2026 (Fillable)
Local 598 Authorization to Release of Protected Health Information (PHI) Form & Instructions (Fillable)
Local 598 Address Change Form (Fillable)
Local 598 Retiree ACH Authorization Form (Fillable)
Local 598 Vacation Plan Direct Deposit Form (Fillable)
Local 598 Retiree Pension Deduction Authorization Form (Fillable)
Local 598 Beneficiary Designation Form (Fillable)
Health Care Amendments and Changes
Health Care Amendments and Changes
Amendment No. 2
Amendments 3 & 4
Amendment No. 5
Amendment No. 6
Amendment No. 7
Amendment No. 8
Amendment No. 9
Amendment No. 10
Health Care Documents / Summary Plan Description
Health Care Documents / Summary Plan Description
2026 Benefits Guide
2026 SBC
H&W Retiree SPD with Amendments No. 1-9
Active H&W SPD with Amendments No. 1-10
Retiree Plan Document - 2016
Active Plan Docuement - 2016
Retiree Educational Flyer
Rights and Protections Against Surprise Medical Bills
2024 Delta Dental Book
Non-Discrimination Notice
HIPAA Notice of Privacy Practices