| Health & Welfare |
 Annual Physical and Hearing Aid Claim Form |
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| Health & Welfare |
Appointment of Personal Representative |
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| Health & Welfare |
ASO Dental Claim Form |
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| Health & Welfare |
Blue Cross Health Insurance Claim Form |
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| Health & Welfare |
CarelonRx Mail Order Form |
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| Health & Welfare |
CarelonRx Reimbursement Form |
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| Health & Welfare |
Combined Capp Account Request Form |
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| Health & Welfare |
Credit Card Authorization Form |
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| Health & Welfare |
Davis Vision Out of Network Claim Form |
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| Health & Welfare |
Dental Claim Form |
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| Health & Welfare |
Dependent Election Form |
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| Health & Welfare |
Designation of Beneficiary |
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| Health & Welfare |
Medicare Waiver Form & Instructions |
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| Health & Welfare |
Missing Contribution Form |
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| Health & Welfare |
Plan A to Plan C Redirection Form |
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| Health & Welfare |
Notice to Employers Regarding Compliance with ACA |
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| Health & Welfare |
Employer Mandate ACA |
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| Health & Welfare |
MetLife Disability Claim Form - Plan A Only |
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| Health & Welfare |
MRP IRS Updated Regulations Notice |
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| Health & Welfare |
Health & Welfare Plan C Eligibility Wheel |
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| Health & Welfare |
MetLife - Participant Life Insurance Claim Form |
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| Health & Welfare |
ACA Certification for MRP |
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| Health & Welfare |
Davis Vision C3/C4 Discount Brochure |
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| Health & Welfare |
MRP Claim Form with Guideline |
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| Health & Welfare |
MRP Claims Direct Deposit Form |
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| Health & Welfare |
Plan Updates to ABA Therapy and Disabled Dependent Children - June 2017 |
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| Health & Welfare |
Medical Reimbursement Program (MRP) Mileage Worksheet 2021 |
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| Health & Welfare |
Plan C - Medical Reimbursement Program (MRP) Reminder Notice |
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| Health & Welfare |
Retiree-Only Medical Reimbursement Program (R-MRP) Annual Notice |
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| Health & Welfare |
IATSE Relief Letter for Health & Welfare Participants affected by Hurricanes Harvey, Irma, or Maria |
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| Health & Welfare |
HIPAA FAQs for Locals |
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| Health & Welfare |
IATSE MRP/RMRP Guidebook - 2019 |
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| Health & Welfare |
CAPP Rate Notice for Quarter Beginning April 1, 2023 |
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| Health & Welfare |
Medical Reimbursement Program (MRP) Mileage Worksheet_1.1.2022-6.30.2022 |
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| Health & Welfare |
Medical Reimbursement Program (MRP) Mileage Worksheet_7.1.2022-12.31.2022 |
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| Health & Welfare |
Retiree Reimbursement Direct Deposit Form |
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| Health & Welfare |
Your Rights and Protections Against Surprise Medical Bills |
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| Health & Welfare |
Machine Readable Files |
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| Health & Welfare |
Travel and Lodging Claim Form |
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| Health & Welfare |
Medical Reimbursement Program (MRP) Mileage Worksheet 2023 |
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