Summary Plan Description Booklets
Summary Plan Description
Summary of Benefits and Coverage
2023 – 2024 SBC
Benefit Summaries
Benefit Summary
Downloads and Forms
Enrollment Form for Cafeteria Workers
Enrollment Form for Climate Staff
HIPAA Authorization Form
Vision Benefits of America Member Portal
Vision Benefits of America ID Card
BeneCard PBF Central Fill Mail Service Order Form
BeneCard Direct Member Reimbursement Form
BeneCard PBF Mobile App
HIPPA Notice of Privacy Practices
Useful Links
Guardian Nurses
Louis P. Mattucci & Associates
Philadelphia Podiatrist
Useful Numbers
Fund Office: (833) 228-9212
Guardian Nurses: (215) 836-0260
Louis P. Mattucci & Associates: (215) 364-6500
Philadelphia Podiatrist: (215) 923-2455
BeneCard Prescription Benefit Facilitator: (1-888) 907-0070 TDD: (1-888) 907-0020