Plumbers and Pipefitters Local Union #219 Health and Welfare Fund
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• Your Personal Information

• Summary Plan Description
  • Booklet
  • Changes to Booklet
  • Annual Notices
  • Privacy Policy
  • Notice to Participants of Special Self-Contribution Rights
  • Obligation to Remit Self-Payments

• Forms (All forms must be returned via mail.)
• Beneficiary Election Form/Change of Address Form
• Disability Claim Form
• Cobra Election forms
  
• HIPAA Portability Rights
• Retiree Application for Health and Welfare

• Related Links
• www.supermednetwork.com
• www.Caremark.com

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