Friday, February 6, 2026

Health Care Documents

Health Care Amendments and Changes
Health Care Amendments and Changes
COMING SOON
Health Care Forms
Health Care Forms
New Member Enrollment Form
Vital Information Form
New Member Enrollment Check List
HIPAA Authorization Form
HIPAA Privacy Notice, Effective 9/23/13
Health Care Recent Mailings
Health Care Recent Mailings
RI Carpenters Merger Letter to Participants
Health Care Documents / Summary Plan Description
Health Care Documents / Summary Plan Description
Summary of Benefits & Coverage (SBC) Plan A
Summary of Benefits & Coverage (SBC) Plan B
Vision Care Plan Benefit Description
Delta Dental Benefit Summary
Health Fund Plan A Benefit Description
Health Fund Plan B Benefit Description
Prescription Drug Coverage
RX Formulary Exception Process