Seiulocal1.com

SEIU Local 1 Fringe Funds

WEBF71_Web Template. If you want the Plan to disclose your protected health information to another individual(s), class of persons, or organization of your choice (for example, your …

Actived: 7 days ago

URL: https://www.seiulocal1.com/

SPD Non-Supplemental Plans A and B

WEBDocuments\4848-2378-0431.v5-4/9/19 INTRODUCTION As a Participant in the Local No. 1 Health Fund, you are eligible for: Comprehensive Major Medical Benefits (Plan A or …

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SEIU Local 1 Fringe Funds

WEBC ONTACT INFORMATION FUND OFFICE Wilson-McShane Corporation, 1431 Opus Place, Suite 350, Downers Grove, IL 60515 (630) 288-6868 | Toll Free: (866) 844-0488 …

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Local No. 1 Health Fund

WEBUPDATED Response to the Coronavirus (COVID-19): Changes to Initial Eligibility May 2020 The Fund recognizes your hard work under challenging circumstances.

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SUMMARY ANNUAL REPORT For LOCAL NO. I HEALTH FUND

WEBSUMMARY ANNUAL REPORT For LOCAL NO. I HEALTH FUND This is a summary of the annual report of the LOCAL NO. 1 HEALTH FUND, EIN 36- 2525603, Plan No. 501, for …

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S.E.I.U. Local No. 1 Health Fund

WEBDEPENDENT ENROLLMENT AND CERTIFICATION FORM. Please complete and return this Dependent Enrollment and Certification Form to: Fund Administrator, S.E.I.U. Local …

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Important Contact Information page Schedule Of Benefits

WEBBefore the Plan pays for most Covered Expenses, you pay: For Network Providers For Non-Network Providers. $200 per person each year; $400 family maximum $300 per person …

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SUMMARY ANNUAL REPORT For LOCAL NO. 1 HEALTH FUND …

WEBSUMMARY ANNUAL REPORT For LOCAL NO. 1 HEALTH FUND This is a summary of the annual report of the LOCAL NO. 1 HEALTH FUND, EIN 36-2525603, Plan No. 501, for …

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Important Contact Information page Schedule Of Benefits

WEBAnnual Out-Of-Pocket Maximum (Medical)4. The Plan pays 100% for the remainder of the year, once you reach your Out-of-Pocket Maximum of: For Network Providers $3,500 …

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Subrogation Agreement

WEBSEIU LOCAL NO. 1 HEALTH FUND SUBROGATION LIEN AGREEMENT AND DISCLOSURE STATEMENT Page 2 of 5 This document may not be amended or …

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Important Contact Information page Schedule Of Benefits

WEBSupplemental Plan B 3 4824-9854-6477.v6-4/9/19 SUPPLEMENTAL PLAN B SCHEDULE OF BENEFITS This Schedule Of Benefits applies to Plan B Participants whose …

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3535 EAST NEW YORK STREET Union Health Service. Inc.

WEBThe following list of Physicians practice at: 1634 WEST POLK STREET • CHICAGO, IL 60612 312-423-4200 Pharmacy Services available Laboratory, General Radiology: …

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Local No. 1 Health Fund 2018 Summary Plan Description Plan …

WEBDocuments\4837-4073-2751.v6-4/9/19 INTRODUCTION As a Participant in the Local No. 1 Health Fund, you are eligible for: Comprehensive Major Medical Benefits (Plan A or …

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IMPORTANT MEMORANDUM January 2022 To: All Health …

WEBIMPORTANT MEMORANDUM . January 2022 . To: All Health Fund Participants . From: Wilson-McShane Corporation . Re: Internal Revenue Service (“IRS”) – Form 1095-B

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KM 554e-20170315124503

WEBGROUP F71 NO BENEFITS CAN BE PAID UNLESS THIS FORM IS COMPLETED IN ITS ENTIRETY Return completed form to: SEIU Local No. 1 Health Fund 1211 W 22nd …

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Specialist Listing December 2022

WEB6 Homewood Hearing Center Charles Amenta, M.D. www.homewoodent.com 18161 Morris Ave. Suite 105 Homewood, IL 60430 Phone: 708.799.5520 Fax: 708.799.5858 Office …

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