Downloads (Forms)

1 – Shoppers and SuperV Non-Med Stipend Retiree and Dep

2 – Shoppers Medicare Now Have Co-Pay 11-2015

3 – Shoppers SuperValu Medicare KP Retiree Letter

4 – Shoppers SuperValu Med Retiree Fund Cvg Retiree Transition Letter

5 – Shoppers pre-Medicare Dep of Medicare Retiree Letter

6 – Shoppers pre-Medicare Retiree Medicare Spouse

UFCW Retiree HW Plan Pre-Medicare Retiree Meeting Postcard

UFCW Retiree HW Plan Pre-Medicare Retiree Enrollment Guide

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.