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

CIGNA DHMO

Dental Plan Schedule

Carriers

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.