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LOCAL 4 BENEFIT FUNDS

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Health & Welfare

Health & Welfare617 Media2023-07-26T15:05:39-04:00

Local 4 Benefit Funds – Health and Welfare

Documents and Resources

  • Health and Welfare Fund Plan Document

  • August 2022 HIPAA Privacy Notice

  • Bridge Plan Enrollment Form, effective March 1, 2023

  • EyeMed Benefit Summary

  • EyeMed Member FAQ (1)

  • EyeMed Member FAQ (2)

  • Fitness Reimbursement Form

  • SBC Notice to Members

  • Uniform Glossary of Terms

  • January 1, 2023 SBC for the Basic, COBRA 2, Pension 50% and Retirement Bridge Plans

  • January 1, 2023 SBC for the Supplemental and COBRA 4 Plans

  • January 1, 2023 SBC for the COBRA 3 and Pension 100% Buy-In Plans

  • 2022 Medicare Part D Notice

  • Member Self-Service Announcement Letter

  • Modern Assistance Program Member Letter 

  • Participants and Beneficiaries Form 

  • TruHearing Introductory Letter

  • Weight Loss Reimbursement Form

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
Local 4 logo

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]

ABOUT

About Us

PLANS

Health and Welfare
Pension
Annuity and Savings

RESOURCES

Member Self Service (MSS)
Employer Self Service (ESS)
Videos

UPDATES

News

Wellness

Privacy Policy | HIPAA Privacy Policy

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