Thursday, February 5, 2026

Health Care Documents

Health Care Recent Mailings
Health Care Recent Mailings
Local 94 H&W Summary Plan Description - Restated Effective 1/1/20262
Summary of Benefits and Coverage 1/1/2026 Through 12/31/2026
SMM: 1/1/2026 Revised Summary Plan Description Letter to Members
Loss of Grandfather Status Notice to Members 1/1/2026
MMO Preventative Care Guidelines Brochure 1/1/2026
CVS Preventative Services Drug List 1/1/2026
2025 Health & Welfare Fund Summary Annual Report
Health Care Forms
Health Care Forms
Vital Information/Beneficiary Election/Changes Form
Short Term Disability Claim Form
CVS Claim Form
Local 94 HRA Reimbursement Claim Form 12/2024
Local 94 Dental Vision Reimbursement Claim Form 12/2024
Health Care Amendments and Changes
Health Care Amendments and Changes
SMM re: 1/1/2026 Restated Summary Plan Description Letter to Members
Health Care Documents / Summary Plan Description
Health Care Documents / Summary Plan Description
Local 94 Health & Welfare Summary Plan Description: Restated 1/1/2026
Revised Summary Plan Description Letter to Members
Loss of Grandfathered Status Notice to Members
MMO Preventative Care Brochure 1/1/2026
CVS Preventative Services Drug List 1/1/2026
Patient Protections Against Suprise Billing
Notice of Nondiscrimination
HIPAA Notice of Privacy Practices
Health & Welfare Fund Annual Notice Mailing 10/1/2025
Summary of Benefits and Coverages
Summary of Benefits and Coverages
Summary of Benefits and Coverage 1/1/2026 Through 12/31/2026