Asbestos Workers Local #3 Health and Welfare Fund
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• Your Personal Information

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

• Forms: (All forms must be returned via mail.)
  • Return of Organization Exempt from Income Tax form 990
  • Medical Reimbursement Form
  • Enrollment Form
  • Hour Bank Plan Reimbursement Form
  • Cobra Application

• Related Links:
  • www.medmutual.com
  • www.anthem.com/mydentalvision
  • www.unioneyecare.com

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