Health & Welfare



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: and look up SignatureValue plans and then SignatureValue Advantage.


Download brochures and publications here. You will need Adobe Reader.

Summary Plan Description & Supplements

Summary Plan Description - Aug 2015

SMM Dependent Definition- April 2016

SMM Paid Time Off- April 2016

SMM Changes to Paid Time Off (PTO) Benefits- June 2017

Inland Refrigeration Summary of Benefits and Coverage


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


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