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Documentation

Women's Health Care and Cancer Rights Act Notice - dated 8-11-2017

Summary Plan Descriptions for Plumbers Welfare Fund Local 130 U.A.

Summary of Benefits and Coverage for Plumbers Welfare Fund Local U.A.

Summary Material Modification Letters 

Summary Annual Report For Plumbers' Welfare Fund, Local 130, U.A.

Life Changing Events

Any of the following events requires Participants and/or dependents to send the proper associated documentation to the Welfare Fund office (Links Below):

Marriage
  1. Copy of Marriage certificate
  2. New Beneficiary and Dependent record
  3. Plumbers Local 130 COB Inquiry Form 2017
Divorce or Legal Separation
  1. Copy of Divorce decree or Court Order
  2. New Beneficiary and Dependent record
Birth
  1. Copy of Child’s birth Certificate
  2. Copy of Social Security Card
  3. New Beneficiary and Dependent record
Termination of Spouse’s primary insurance
  1. Letter of Termination from Primary insurance
New employment of spouse
  1. Plumbers Local 130 COB Inquiry Form 2017
Change of address
  1. Change of Address Form

All Forms

TASC HRA Card Documentation:

TASC account set up instructions

 TASC HRA Participant Reference Guide

 TASC HRA Participant Website Claims Guide

 TASC HRA Plan features

TASC CLAIM FORM

 

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