MemberXG Benefit system
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Summary Plan Description Booklet (“SPD”)
Warehouse Employees Union Local No. 730 Health and Welfare SPD
Downloads (Forms)
Accident Inquiry Form
Coordination of Benefits Form
Change in Beneficiary for Life Insurance Benefit (A Health and Welfare Benefit)
Enrollment Form
HIPAA Authorization Form
Assignment and Subrogation Agreement
Weekly Accident and Sickness Claim Form
Federal Tax Withholding Form (Pension)
State Tax Withholding Form (Pension)
MetLife Benefit Summary
Important Notices
Notice of Privacy Practices
2024 Summary of Benefits & Coverage
Surprise Billing Public Notice
Change Healthcare Notice to Members
Useful Links
Care Allies Precertification
CIGNA HealthCare
Express Scripts
CIGNA Centrix (DME)
Preventive Services List
Metlife
Warehouse Local 730 H&W Fund Price Comparison Tool
Useful Numbers
Care Allies Precertification – 800-768-4695
CIGNA HealthCare – 800-768-4695
Express Scripts – 800-732-6323
CIGNA Centrix (DME) – 800-244-6224
Dental Health Centers and Associates – 888-802-6970
Group Vision Services (GVS) – 866-265-4626
Transparency in Coverage: Machine Readable Files
The links below lead to the machine readable files that are made available in response to the federal Transparency in Coverage Rule and include negotiated service rates between health plans and healthcare providers. The machine readable files are formatted to allow researchers, regulators and application developers to more easily access and analyze data.
Warehouse Employees Union Local No. 730 In-Network File
Warehouse Employees Union Local No. 730 Allowed Amounts File
IMPORTANT HEALTH COVERAGE TAX DOCUMENTS
Prior to tax year 2025, you automatically received a copy of IRS Form 1095-B via postal mail. This form shows proof of your minimum essential health coverage for the most recent tax filing year. However, due to recent changes in federal law, Form 1095-B is no longer required to be mailed to individuals under IRS rules, except upon request. The IRS no longer requires you to include a copy of 1095-B with your annual federal tax return, but you are still entitled to request a copy for your records.
If you would like to receive a copy of your 1095-B showing coverage under the Warehouse Employees Union Local No. 730 Health and Welfare Fund for the most recent tax filing year, you may request a copy by calling 800-730-2241, emailing 1095BRequests@associated-admin.com or sending a written request to the Fund Office at 911 Ridgebrook Road, Sparks MD 21152. A copy of your Form 1095-B will be mailed to you within 30 days of receiving your request.
These forms are published on this page by Associated Administrators, LLC
on behalf of the Client Fund and are meant solely for the use of their participants.