Thursday, April 9, 2020

Health Care Documents


Health Care Amendments and Changes
Health Care Amendments and Changes
Particpant Notice Out-of-Pocket Limits
Health Care Forms
Health Care Forms
Medical Claim Form
Total Disability Form
2019 Dental/Vision Reimbursement Claim Form
2020 DEntal-Vision Reimbursement Claim Form
Health Care Recent Mailings
Health Care Recent Mailings
Vendor Change to Employers Risk Services (ERS) and Dental Reimbursement Program Notice 2015
Enrollment form
Changes in Wise PPO Providers Effective July 1, 2014
Notice to Retirees (Post-1998) Retiree Rates Effective January 1, 2016 Marketplace
2016 Utah Pipe Trades Welfare Trust New Plan Document and SPD Notice
Notice re Dental and Vision Benefit Option 2018
Utah Pipe Trades Welfare Trust Fund Summary Annual Report 9-2016
Annual Notification Women's Health and Cancer-Rights Act of 1998
Children's Health Insurance Program Notice
Privacy Practices Notice
Notice of Benefit Modifications 2018
Notice to Participants (Pre 1998) Retiree Rates eff  5_1_2018
Creditable Coverage (Medicare Pard D) Notice
Updates to Claims Procedures Notice
Teladoc Benefit Notice
Retiree Self-Pay Rates Effective 05/01/19 Notice
Summary Annual Report YE 2018
Revised Retiree Rates eff 5-1-2020
COVID-19 Notice
Health Care Documents / Summary Plan Description
Health Care Documents / Summary Plan Description
Find A Doctor or Pharmacy PPO Networks
Summary of Benefits and Coverage
2016 Utah Pipe Trades Welfare Trust Fund Summary Plan Description