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For your protection, please do not email anything to the Fund office that contains your social security number.

Change of Address

Member Change of Address

Freight Drivers Local 557

Health and Welfare Plan Termination Presentation June 20, 2009 IFS Presentation June 20, 2009 Segal Presentation PHI Authorization

IATSE Local 22 and 772

Local 22 Pension SPD
Local 22 Welfare Plan SPD
Local 772 Pension SPD
Local 772 Welfare Plan SPD
Loss of Time
PHI Authorization

IBEW LOCAL 24 and 307

Enrollment Loss of Time Lump Sum Death Benefit Beneficiary Pension Benefit Beneficiary

PHI Authorization Severance & Annuity Benefit Beneficiary

Sheet Metal Workers Local 100(Baltimore)

Enrollment Loss of Time PHI Authorization Preferred Providers

Preferred Providers - Western Maryland

Steamfitters Local 602

Beneficiary Designation Declaration of Health Insurance Dental PPO List Enrollment Express Scripts Formulary Listing Medical SPD Non-Occupational Loss Of Time Claim Occupational Loss Of Time Claim Pension SPD PHI Authorization Retiree Rates RSP SPD Virginia Health Network Charlottesville Virginia Health Network Fredericksburg Virginia Health Network Nova Virginia Health Network Richmond Virginia Health Network SWVA Virginia Health Network Tidewater Virginia Health Network Winchester

Teamsters Local 311

Loss of Time
MetLife Enrollment and Beneficiary Form
Pension Summary Plan Description
PHI Authorization

Teamsters Local 355

Beneficiary and Enrollment Form
Loss of Time
PHI Authorization
Health and Welfare Fund Summary Plan Description - All Baltimore Plans

Teamsters Local 639 for Former Members of Local 33

Health and Welfare SPD
Pension SPD
PHI Authorization

Transport Workers Union

Declaration of Health Insurance
Enrollment Form
Loss of Time
PHI Authorization

United Union of Security Guards

Declaration of Health Insurance Enrollment and Beneficiary Designation Loss of Time PHI Authorization

Preferred Formulary List SPD - 401(k) SPD - H&W