Lithographers and Photoengravers Local 285

 

Revised Notice of Privacy Practices

 

Downloads (Forms)

HIPAA Authorization Form
Mutual of Omaha Enrollment Form

 

Summary Plan Description Booklets

Local 285 Welfare SPD

Summary of Benefits And Coverage

2016 Р2017 SBC РFlex POS
2016 – 2017 SBC – Select DHMO
2016 – 2017 SBC – Select High HMO
2016 – 2017 SBC – Signature HMO

CIGNA DHMO

Dental Plan Schedule

 Evidence of Coverage of Booklets 2015 Р2016

2015 EOC – Select DHMO
2015 EOC – Select High
2015 EOC – Signature HMO
2015 EOC – Flexible Choice

 

Carriers

Kaiser Health Plans
Group Dental Services
National Vision Administrators
Graphic Communications National Health and Welfare Fund
Mutual of Omaha

 

These forms are published on this page by Associated Administrators, LLC
on behalf of the Client Fund and are meant solely for the use of their participants.