Summary Plan Description Booklets
Health & Welfare Plan SPD
SMMs (Benefit Changes) to the Health & Welfare Plan SPD

Summary Of Benefits & Coverage
2021 SBC Full Plan (Shop)
2019 SBC Partial Plan (Shop)

2021 SBC Full Plan (Exhibitor)
2021 SBC Partial Plan (Exhibitor)

Useful Numbers
Express Scripts – 1-800-451-6245
Independence Administrators – 1-888-234-2393
Provider Information – 1-800-810-BLUE
Inpatient Stay Precertification and Durable Medical Equipment – 1-888-234-2393
Cigna Dental – 1-800-797-3381

Useful Links
Carefirst PPO
Cigna Dental
Independence Administrator

Accident & Sickness Form
Coordination of Benefits Form
Enrollment Form
Optical List & Fee Schedule

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.