Resources
Health and Welfare
Forms
- Change of Address
- Disability Claim Form
- Enrollment Card
- HIPPA Authorization
- Life Insurance Claim Form
- Local 81 HRA Claim Form
- Marriage Confirmation (requires notary) – English
- Marriage Confirmation (requires notary) – Spanish
- Pension Directive Form
- Retiree Enrollment Form
- Self-Funded Medical Plan Claim Form
Plans
Self-funded PPO
Forms
- Change of Address
- CRX Enrollment Packet
- Disability Claim Form
- Enrollment Card
- HIPPA Authorization
- Life Insurance Claim Form
- Local 81 HRA Claim Form
- Marriage Confirmation (requires notary) – English
- Marriage Confirmation (requires notary) – Spanish
- Pension Directive Form
- Retiree Enrollment Form
- Self-Funded Medical Plan Claim Form