Health & Welfare Trust Fund

Enrollment Forms

• Active Enrollment Form
• Retiree Enrollment Form 
• Surviving Spouse Enrollment Form
• 2023 VSP Brochure
• Anthem Digital ID Card Flyer
• Delta Dental ID Card and Online Access Brochure
• Prescription Digital ID Card

 

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.
• Unique new Kaiser Medical Insurance Option – Plan A+ Effective January 1, 2016
• COVID-19 Optum Live Health Online SMM

Recent:

• Life Insurance Benefits (active employees only)                                                 effective June 1, 2025

Summary Annual Report

• Summary Annual Report 2024 
  Summary Annual Report for the plan year ending December 31, 2024.