Heat & Frost Insulators and Allied Workers'


Health Care Button

Pension Button

image
Back Button

Participant Communications

Please Note:  In order to view and print the following forms, you must have the Adobe Acrobat Reader installed on your computer.  If you do not have the Adobe Acrobat Reader Software and wish to download it, you may do so by clicking on the image below.

Get Acrobat Reader
Participant Communications:
  • Health Care Exchange Notice (September 2013)

  • Notice of Privacy Practices (September 2013)

  • Mail Order Prescription Drug Program (December 2006)

  • Medicare Part D Prescription Drug Coverage (November 2005)

    •
    Summary of Material Modifications:
  • Supplement to Medicare Program (April 2011)

  • Benefit Modifications (December 2010)

  • Health Care & Education Affordability Reconciliation Act of 2010  (December 2010)

  • Summary of Material Modifications (July 2006)

  • Summary of Material Modifications (November 2005)

  • Summary of Material Modifications (August 2005) Self-Payment Rates

  • Summary of Material Modifications (September 2004) Optional Coverage

  • Summary of Material Modifications (September 2004)

  • Summary of Material Modifications (August 2004) Self-Payment Rates

  • Summary of Material Modifications (March 2004)

  • Summary of Material Modifications (December 2003)

  • Summary of Material Modifications (October 2003)

  • Summary of Material Modifications (July 2003)

  • Summary of Material Modifications  (November 2001)

  • Summary of Material Modifications (September 2001)

    • Back Button


    6525 Centurion Drive, Lansing, MI 48917-9275
    517.321.7502 • Toll-free 800.323.8079 • Fax 517.321.7508