Forms and Documents

Medical

Comparison of Medical Plan Benefits 2020

Medical

Comparison of Medical Plan Benefits 2020

Anthem Preferred Provider Organization (PPO) Medical Plan

2019 Anthem PPO Medical SBC

Anthem PPO Enrollment Form

Anthem PPO Summary of Benefits

Hearing Aid Rider

LiveHealth Online

Looking for a Doctor?

Express Scripts (ESI)

Express Scripts Home Delivery Order Form

Health

HIPAA

HIPAA Form to Appoint a Personal Representative

HIPAA Form to Revoke a Personal Representative

HIPAA Authorization Form

HIPAA Revocation Form

Summary Annual Reports

2019 Health & Welfare Summary Annual Report

2017 Health & Welfare Summary Annual Report

2016 Health & Welfare Summary Annual Report

2015 Health & Welfare Summary Annual Report

2014 Health & Welfare Summary Annual Report

2013 Health & Welfare Summary Annual Report

2012 Health & Welfare Summary Annual Report

2011 Health & Welfare Summary Annual Report

Prescription Rx

Prescription Rx Forms and Documents

Prescription Rx Claim Form

General

General

Address Change Form

Designation of Beneficiary Form

Health and Welfare SPD

General

Disability Health & Welfare Hours Claim Form

Address Change Form

Designation of Beneficiary Form

Electronic Delivery Form

Health and Welfare SPD

Health and Welfare Bronze Plan SPD

Southwest Carpenters Reciprocity Form

Student Status Form

MetLife Advantages Slipsheet

Travel Assistance Flyer

Grief Counseling Slipsheet

WillsCenter.com Slipsheet

Funeral Planning and Available Services Slipsheet

MetLife Resource Flyer

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