Lithographers and Photoengravers Local 285


Revised Notice of Privacy Practices


Downloads (Forms)

HIPAA Authorization Form
Mutual of Omaha Enrollment Form


Summary Plan Description Booklets

Local 285 Welfare SPD

Summary of Benefits And Coverage

2018 Р2019 SBC РFlex POS
2018 – 2019 SBC – Select DHMO
2018 – 2019 SBC – Select High HMO
2018 – 2019 SBC – Signature HMO


Dental Plan Schedule

 Evidence of Coverage of Booklets 2015 Р2016

2015 EOC – Select DHMO
2015 EOC – Select High
2015 EOC – Signature HMO
2015 EOC – Flexible Choice



Kaiser Health Plans
Group Dental Services
National Vision Administrators
Graphic Communications National Health and Welfare Fund
Mutual of Omaha


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.