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LOCAL 4 BENEFIT FUNDS

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Health & Welfare

Health & Welfare617 Media2025-08-11T12:09:43-04:00

Local 4 Benefit Funds – Health and Welfare

Documents and Resources

  • August 2025 HIPAA Privacy Notice

  • Health and Welfare Fund Plan Document

  • November 2024 Summary of Material Modification: Prescription Drug Coverage

  • 2024 Medicare Part D Notice

  • 2023 Health & Welfare Summary Annual Report

  • 2023 Summary of Important Changes to Health & Welfare Plan
  • Overview of Lyra Health Employee Assistance Program
  • Bridge Plan Enrollment Form, effective March 1, 2025

  • EyeMed Benefit Summary

  • EyeMed Member FAQ (1)

  • EyeMed Member FAQ (2)

  • Fitness Reimbursement Form

  • 2025 SBC Notice to Members

  • Uniform Glossary of Terms

  • January 1, 2025 SBC for the Basic, COBRA 2, Pension 50% Buy-In and Retirement Bridge Plans

  • January 1, 2025 SBC for the COBRA 3 and Pension 100% Buy-in Plans

  • January 1, 2025 SBC for the Supplemental and COBRA 4 Plans

  • Member Self-Service Announcement Letter

  • Participants and Beneficiaries Form

  • Fertility Benefit

  • Progyny Member Guide 

  • TruHearing Introductory Letter

  • Weight Loss Reimbursement Form

  • Substance Use Disorder Resources
  • FAQ About Transitioning to Optum Rx

Newsletters

  • Spring 2021 newsletter
  • Summer 2021 newsletter
  • Fall 2021 newsletter
  • Winter 2021 newsletter
  • Spring 2022 newsletter
  • Summer 2022 newsletter
  • Fall 2022 newsletter
  • Winter 2022 newsletter
  • Spring 2023 newsletter
  • Summer 2023 newsletter
  • Fall 2023 newsletter
  • Winter 2023 newsletter
  • Spring 2024 newsletter
  • Summer 2024 newsletter
  • Fall 2024 newsletter
  • Spring 2025 newsletter
  • Summer 2025 newsletter
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LOCAL 4 BENEFIT FUNDS

16 Trotter Drive
P.O. Box 680
Medway, MA 02053-0680
Phone: 508-533-1400
General Fax: 508-533-1425
[email protected]

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Privacy Policy | HIPAA Privacy Policy

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2024 Form 1095-B

In accordance with guidance from the Internal Revenue Service, the IUOE Local 4 Health & Welfare Fund will not be distributing Form 1095-B to individuals documenting coverage for the tax year 2024. You will continue to receive a Form 1099-HC from Blue Cross Blue Shield.  Individuals who wish to receive a copy of their 1095-B may send a request to [email protected] or to the following address:
 
IUOE Local 4 Funds
Re: Form 1095-B Inquiry
P.O. Box 680
Medway, MA 02053-0680