Lithographers and Photoengravers Local 285
HIPAA 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
Lithographers Summary of Material Modifications
Summary of Benefits And Coverage
2026 SBC – Select DHMO 7
2026 SBC – Select DHMO 16
2026 SBC – Signature HMO 2
Cigna Dental HMO
Cigna Dental PPO
Cigna PPO Dental Benefit Summary
Carriers
Kaiser Health Plans
National Vision Administrators
Graphic Communications National Health and Welfare Fund
Mutual of Omaha
Cigna Dental
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.
IMPORTANT HEALTH COVERAGE TAX DOCUMENTS
If you would like to receive a copy of your 1095-B showing coverage under the Lithographers & Photoengravers Local 285 Welfare Fund for the most recent tax filing year, you may request a copy from Kaiser by going to kp.org/mytaxdocs (login required) or by requesting a reprint by calling the Kaiser MSCC tax team at 1-844-477-0450.
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.