Health & Welfare Trust Fund

Enrollment Forms

• Active Enrollment Form
  Operating Engineers Public And Miscellaneous Employees Health And Welfare Trust Fund Active Enrollment Form.
• Retiree Enrollment Form 
• Surviving Spouse Enrollment Form

Summary of Material Modifications and Participant Notices

• Newborn Documentation and Life and AD&D Benefit Eligibility Clarification SMM
• HIPAA Notice of Privacy Practices for Protected Health Information.
   April 1, 2019 Notice of Privacy Protection.
• Unique new Kaiser Medical Insurance Option – Plan A+ Effective January 1, 2016
• COVID-19 Optum Live Health Online SMM

Summary Annual Report

• Summary Annual Report 2021 
  Summary Annual Report for the plan year ending December 31, 2021.
• Summary Annual Report 2020 
  Summary Annual Report for the plan year ending December 31, 2020.
• Summary Annual Report 2019 
  Summary Annual Report for the plan year ending December 31, 2019.
• Summary Annual Report 2018 
  Summary Annual Report for the plan year ending December 31, 2018.