Forms & Documents

Click or touch a topic to navigate to the document or form you’re looking for.

As you review the forms and documents, please note that benefits schedules and provider directories (e.g., the Dental Plan Schedule of Services) may change regularly. Be sure to check with the Fund Office if you have a question regarding a particular benefit or provider.

Health Reimbursement Account (HRA)

Medical – Active Participants

Medical – Active Participants

Plan Benefits Charts – provide detailed benefits coverage information

Medical – Active Participants

Summaries of Benefits and Coverage (SBCs) – as required under the Affordable Care Act


Chiropractic Care and Acupuncture


Hearing Aids

Death Benefit