Your Privacy
Click here to view the Health and Welfare fund Privacy Statement in Word
Click here to view the Health and Welfare fund Privacy Statement in PDF Format*
Schedule of Benefits
Summary Plan Description *
Summary Annual Reports: *
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Print Form(s):*
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format. You must have
Adobe® Acrobat® Reader.
If you do
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you can download it for free
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Adobe's
Web Site.
Claims Review/Appeal Procedures
Procedures to Request Certificate of Group Health Plan Coverage Procedures
Retiree Claim Form
(Over age 65)
TIPS FOR FILING A CLAIM:
Eligibility Requirements
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To Contact Us:
205 Alexandra Way
Carol Stream, IL 60188
phone: 630-668-7260
fax: 630-668-7338
or email us!