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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Annuity |
Beneficiary Designation Worksheet |
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Annuity |
Deferred Salary Agreement Form 401(k) |
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Annuity |
Missing Contribution Form |
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Pension |
Direct Deposit Form |
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Pension |
Missing Contribution Form |
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Pension |
Pension Beneficiary Form |
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Vacation |
Direct Deposit Form |
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Vacation |
Missing Contribution Form |
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Vacation |
Vacation Beneficiary Form |
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Booklets/Documents |
HW Triple S SPD |
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Booklets/Documents |
IATSE HW Plan A SPD |
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Booklets/Documents |
IATSE HW Plan C SPD |
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Booklets/Documents |
IATSE Pension Plan B SPD |
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Booklets/Documents |
IATSE Pension Plan C SPD |
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Booklets/Documents |
IATSE Vacation Fund SPD |
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Contracts & Contributions |
Contribution Remittance Form |
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Contracts & Contributions |
Deferred Salary Agreement Form |
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Contracts & Contributions |
Employer Contributions and Collections Guidebook |
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Contracts & Contributions |
IANBF Home Plan |
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Contracts & Contributions |
IANBF Home Plan for Local 600 Puerto Rico Only |
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Contracts & Contributions |
IANBF Home Plan for USA829 Only |
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Contracts & Contributions |
Multi-Fund Trust Acceptance Document |
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Contracts & Contributions |
Notice - End of Year Reports - All Years |
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Contracts & Contributions |
Notice re CAPP Rate as Contribution Rate |
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Contracts & Contributions |
Participation Agreement - Annuity Deferral - 3% |
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Contracts & Contributions |
Participation Agreement - Annuity SM Deferral |
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Contracts & Contributions |
Plan A to Plan C Redirection Form |
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Agreement & Declarations of Trusts |
First Amendment Health & Welfare Declaration of Trust |
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Agreement & Declarations of Trusts |
Health & Welfare Declaration of Trust |
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Contracts & Contributions |
Multi-Fund Participation Agreement |
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Health & Welfare |
Notice to Employers Regarding Compliance with ACA |
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Agreement & Declarations of Trusts |
Annuity Fund Declaration of Trust |
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Agreement & Declarations of Trusts |
Vacation Declaration of Trust |
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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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All |
Trust Acceptance Document |
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General |
Change of Address Census Card |
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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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General |
Company Data Sheet |
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Agreement & Declarations of Trusts |
Second Amendment Health & Welfare Declaration of Trust |
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Health & Welfare |
MetLife - Participant Life Insurance Claim Form |
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Annuity |
Annuity Fund Plan Document |
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Agreement & Declarations of Trusts |
Second Amendment - Pension Fund Declaration of Trust |
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Pension |
Pension Plan B Document |
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General |
Refund Policy and Company Data Sheet |
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Agreement & Declarations of Trusts |
Second Amendment Annuity Fund Declaration of Trust |
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Health & Welfare |
ACA Certification for MRP |
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Pension |
Pension Plan C Document |
|
Pension |
Annual Funding Notice for 2013 - Pension Fund |
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Agreement & Declarations of Trusts |
Pension Fund Agreement and Declaration of Trust |
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Health & Welfare |
Davis Vision C3/C4 Discount Brochure |
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Annuity |
First Amendment - Annuity Fund Plan Document |
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Booklets/Documents |
Health & Welfare Retiree Only Medical Reimbursement SPD - 2019 |
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Pension |
Annual Funding Notice for 2014 - Pension Fund |
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Annuity |
Second Amendment - Annuity Fund Plan Document |
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Health & Welfare |
MRP Claim Form with Guideline |
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Annuity |
Third Amendment - Annuity Fund Plan Document |
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Pension |
Pension Estimate Request |
|
Annuity |
Fourth Amendment - Annuity Fund Plan Document |
|
Annuity |
Fifth Amendment - Annuity Fund Plan Document |
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Health & Welfare |
MRP Claims Direct Deposit Form |
|
Annuity |
Sixth Amendment - Annuity Fund Plan Document |
|
Pension |
Annual Funding Notice for 2017 - Pension Fund |
|
Booklets/Documents |
IATSE Annuity Fund SPD |
|
Contracts & Contributions |
Multi-Fund Trust Acceptance Document |
|
Pension |
Annual Funding Notice for 2016 - Pension Fund |
|
Pension |
FASB Financial Statement Disclosure for 2018 |
|
Health & Welfare |
Plan Updates to ABA Therapy and Disabled Dependent Children - June 2017 |
|
Health & Welfare |
Medical Reimbursement Program (MRP) Mileage Worksheet 2021 |
|
Health & Welfare |
Plan C - Medical Reimbursement Program (MRP) Reminder Notice |
|
Health & Welfare |
Retiree-Only Medical Reimbursement Program (R-MRP) Annual Notice |
|
Health & Welfare |
IATSE Relief Letter for Health & Welfare Participants affected by Hurricanes Harvey, Irma, or Maria |
|
Health & Welfare |
HIPAA FAQs for Locals |
|
Pension |
Annual Funding Notice for 2015 - Pension Fund |
|
Health & Welfare |
IATSE MRP/RMRP Guidebook - 2019 |
|
Booklets/Documents |
HW Plan C Benefits at a Glance - 2022 |
|
General |
Annuity Fund Safe Harbor Notice |
|
Annuity |
Seventh Amendment - Annuity Fund Plan Document |
|
Pension |
Annual Funding Notice for 2018 - Pension Fund |
|
Pension |
FASB Financial Statement Disclosure for 2019 |
|
Booklets/Documents |
IATSE Annuity Fund SPD - Spanish |
|
Health & Welfare |
CAPP Rate Notice for Quarter Beginning April 1, 2023 |
|
Pension |
FASB Financial Statement Disclosure for 2020 |
|
Pension |
Annual Funding Notice for 2019 - Pension Fund |
|
Annuity |
Eighth Amendment - Annuity Fund Plan Document |
|
Annuity |
Ninth Amendment - Annuity Fund Plan Document |
|
Annuity |
Qualified Default Investment Alternative (QDIA) Notice |
|
Annuity |
How to Access and Manage Your Annuity Account |
|
Pension |
Annual Funding Notice for 2020 - Pension Fund |
|
Pension |
FASB Financial Statement Disclosure for 2021 |
|
Health & Welfare |
Medical Reimbursement Program (MRP) Mileage Worksheet_1.1.2022-6.30.2022 |
|
Health & Welfare |
Medical Reimbursement Program (MRP) Mileage Worksheet_7.1.2022-12.31.2022 |
|
General |
IRS Publication 502 - Medical and Dental Expenses for 2022 Returns |
|
Health & Welfare |
Retiree Reimbursement Direct Deposit Form |
|
Pension |
FASB Financial Statement Disclosure for 2022 |
|
Health & Welfare |
Your Rights and Protections Against Surprise Medical Bills |
|
Health & Welfare |
Machine Readable Files |
|
Booklets/Documents |
HW Plan A Summary of Benefits and Coverage - 2023 |
|
Booklets/Documents |
HW Plan C1 Summary of Benefits and Coverage - 2023 |
|
Booklets/Documents |
HW Plan C2 Summary of Benefits and Coverage - 2023 |
|
Booklets/Documents |
HW Plan C3 Summary of Benefits and Coverage - 2023 |
|
Booklets/Documents |
HW Plan C4 Summary of Benefits and Coverage - 2023 |
|
Booklets/Documents |
HW Plan MRP Summary of Benefits and Coverage - 2023 |
|
Booklets/Documents |
HW Plan Triple S Summary of Benefits and Coverage – English 2023 |
|
Booklets/Documents |
HW Plan Triple S Summary of Benefits and Coverage – Spanish 2023 |
|
Health & Welfare |
Travel and Lodging Claim Form |
|
Pension |
Annual Funding Notice for 2021 - Pension Fund |
|
Health & Welfare |
Medical Reimbursement Program (MRP) Mileage Worksheet 2023 |
|
Pension |
Annual Funding Notice for 2022 - Pension Fund |
|
Pension |
FASB Financial Statement Disclosure for 2023 |
|