Ohio and Vicinity Regional Council of Carpenters
Health and Welfare Fund
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• Your Personal Information

• Summary Plan Description
• Booklet
• Changes to Booklet
• Annual Notices
• Privacy Policy
• HIPPA Portability Rights

• Forms
• Dollar Bank Reimbursement Forms
• Beneficiary Election Form/Change of Address Form
• Reciprocity Authorization Form
• Disability Claim Form
• Cobra Application
• H & W Retiree Election Form
• Life Insurance Form

• Related Links:
  • www.humana.com
  • www.express-scripts.com

All Forms are in PDF Format. Download the FREE Adobe Acrobat Reader Here.