International Brotherhood of Painters and Allied Trades • Local #476 • Mahoning Trumbull County Building Trades Insurance Fund
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• Your Personal Information

• Summary Plan Description
  • Booklet
  • Changes to Booklet
  • Annual Notices
  • Privacy Policy
  • HIPAA Portability Rights

• Forms: (All forms must be returned via mail.)
  • Beneficiary Election Form/Change of Address Form
  • Disability Claim Form
  • Cobra Election Form
  • H & W Retiree Election Form
  • H & W Retiree Election Form (Normal Retirement)

• Related Links:
  www.supermednetwork.com
  www.caremark.com

All Forms are in PDF Format. Download the FREE Adobe Acrobat Reader Here.