Lithographers and Photoengravers Local 285


Revised Notice of Privacy Practices


Downloads (Forms)

HIPAA Authorization Form
Mutual of Omaha Enrollment Form
Kaiser Permanente Member Reimbursement Form


Summary Plan Description Booklets

Local 285 Welfare SPD

Summary of Benefits And Coverage

2022 – 2023 SBC – Select DHMO 8
2022 – 2023 SBC – Select DHMO 16
2022 – 2023 SBC – Signature HMO


Dental Plan Schedule


Kaiser Health Plans
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.