Lithographers and Photoengravers Local 285

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

2024 SBC – Select DHMO 8
2024 SBC – Select DHMO 16
2024 SBC – Signature HMO


Dental Plan Schedule


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

Transparency in Coverage: Machine Readable Files

The links below lead to the machine readable files that are made available in response to the federal Transparency in Coverage Rule and include negotiated service rates between health plans and healthcare providers. The machine readable files are formatted to allow researchers, regulators and application developers to more easily access and analyze data.



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.