Wednesday, February 18, 2026

Health Care Documents

Health Care Recent Mailings
Health Care Recent Mailings
Summary Annual Report - Welfare
Summary Annual Report - Retiree Welfare
Health Care Forms
Health Care Forms
Vital Information Form
Authorization for Release of Protected Health Information Form
Notice of COBRA rights
Notice of Privacy Practices
Health Care Amendments and Changes
Health Care Amendments and Changes
COMING SOON
Health Care Documents / Summary Plan Description
Health Care Documents / Summary Plan Description
Summary Plan Description- Commercial Employees and Fourth Year Commercial Apprentices
Summary Plan Description- Residential Plan
Summary Plan Description- Retiree Plan
Summary of Benefits and Coverages
Summary of Benefits and Coverages
COMMERCIAL PLAN - Appendix A - Insured IBX Medical Plan
COMMERCIAL PLAN - Appendix B - Future Scripts Select Drug Program Overview
RESIDENTIAL PLAN Appendix A - Residential Plan Insured Benefits
RESIDENTIAL PLAN - APPENDIX B IBX SELECT RX BENEFITS
RETIREE PLAN- APPENDIX A - INSURED IBX COMMERCIAL MEDICAL PLAN
RETIREE PLAN-APPENDIX B - RESIDENTIAL INSURED BENEFITS
RETIREE PLAN-Appendix C - Rx Benefits
ULLICO G3314 Certificate