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Areas of Interest
Schedule of Benefits
Rules of Eligibiliy-Active Employees
Dependents Eligibility
Retired Employees and Dependents Eligibility
COBRA Continuation of Health Coverage
Comprehensive Medical Benefits
General Limitations-Medical Benefits
Preventative Care Expenses Reimbursement Under the Carpenters Health Improvement Plan (CHIP)
Coordination of Benefits
Subrogation
Medicare
Medicare and This Fund
General Information
Claims Reviews and Appeals Procedure
Statement of Rights Under the Employee Retirement Income Security Act of 1974(ERISA)
HIPAA Privacy Requirements for use and Disclosure of Protected Health Information
Information Required by the Employee Retirement Income Security Act of 1974
General Definitions
General Provisions
 
Forms
Insurance Claim Form
 
Authorization for Release of Protected Health Information
 
For members of Local 303:
Request for Transfer of Health & Welfare Contributions
 
For members of Local 1192:
Request for Transfer of Health & Welfare Contributions
 
For all other members:
Request for Transfer of Health and Welfare, Pension and Annuity Contributions

Health Summary Plan Description

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P.O. Box 1208, Hixson, Tn 37343 | 423.847.1394 | 800.572.7358