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Health & Welfare

Contacts

 

HIPAA Privacy

Medicare Part D


 

The Inland Refrigeration & Air Conditioning Health & Welfare Fund provides medical, prescription drug, dental, vision, life and vacation benefits, funded by contributions from employers.

For further information, please refer to the Summary Plan Description.

Effective October 1,2015, participants of the Inland Refrigeration & Air Conditioning H&W Trust Fund have a new provider network for UnitedHealthcare.  In order to search for providers that are covered under the new UnitedHealthcare Signature Value Advantage network, please visit: www.myuhc.com and look up SignatureValue plans and then SignatureValue Advantage.

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Summary Plan Description & Supplements

Summary Plan Description - Aug 2015

SMM Dependent Definition- April 2016

SMM Paid Time Off- April 2016

Inland Refrigeration Summary of Benefits and Coverage

Forms

Enrollment & Beneficiary Form

Change of Address Form

Delta Dental Enrollment Form

ULLICO Enrollment Form

United Healthcare Enrollment Form

UnitedHealthcare of California
Combined Evidence of Coverage and Disclosure Form

Group Vision Care Plan Evidence Of Coverage & Disclosure Form

Paid Time Off Benefit Interim Withdrawal Form

Authorization to Disclose PHI

Information

2013 HIPAA Privacy Notice

 

Southern California Pipe Trades Administrative Corporation | 501 Shatto Place, 5th Floor | Los Angeles | CA 90020 | (800) 595-7473 | Press Option "2" for Member Services | Outside US (213) 385-6161 | Fax (213) 383-0725