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Retiree Summary Plan Description (SPD) Please refer to the2020 Summary Plan Description and Plan Document for details. 39420 Liberty Street, Suite 260. Construction Laborers Resources. Did the organization provide a grant or other assistance to an officer, director, trustee, key employee, substantial contributor or employee thereof, a grant selection committee member, or to a 35% controlled entity or family member of any of these persons? Zadzwo pod numer 1-800-999-1999. Claim your profile for free. Did the organization report an amount for other assets that is 5% or more of its total assets? Access to affordable health care - The United Food & Commercial Workers UEBT Active Other Insurance Information (OII) Form, UEBT Retiree Other Insurance Information (OII) Form, Appointment of Personal Representative Form, Authorization to Release Medical Information, OTC COVID Test Reimbursement Form for UEBT Blue Shield Plan Actives and Non-Medicare Retirees, OTC COVID Test Reimbursement Form for UCBT Blue Shield Plan Actives and Non-Medicare Retirees, OTC COVID Test Reimbursement Form for UEBT Medicare Retirees, OTC COVID Test Reimbursement Form for UCBT Medicare Retirees, Blue Shield Provider who Does Not Bill Form. Si usted tiene dificultad en entender alguna parte de este informacin, o necesita mas informacin comuniquese con la Oficina de Administracion del Plan TBT. MOE Benefit Funds - IUOE Local 150 | International Union Of Operating Superior Officers Council Health and Welfare Funds (SOC) 501 (c) (9) New York, NY. The Fund offers a Joint & 100% Survivor option, Joint & 75% Survivor option and Joint & 50% Survivor option. Does the organization have a written conflict of interest policy? Network providers have negotiated an agreement with the PPDO to discount prices. Click the blue "Showing __ Results" text at the top of the directory to see more forms. If you opt out of the Joint & Survivor benefit or are not married, you may elect either a 5-year certain or 10-year certain option. Medical, time loss, and life claims: 800-458-3053. - Benefit Office at (866) 626-2070. By using this website you agree with the Terms of Use. The organization is not a private foundation because it is: Contributions, gifts, grants, and similar amounts received, Program service revenue including government fees and contracts, Interest on savings and temporary cash investments, Gain or (loss) from sales of assets other than inventory, Gross amount from sales of assets other than inventory, Less: cost or other basis and sales expenses, Net income or (loss) from special events and activities, Less: direct expenses other than fundraising expenses, Gross profit or (loss) from sales of inventory, Gross sales of inventory, less returns and allowances, Net assets or fund balances at end of year, Net assets or fund balances at beginning of year, Other changes in net assets or fund balances, Statement of Functional Expenses (for 2007).

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