Health & Welfare

These files are in PDF format and may be filled out on your computer. They may be downloaded to view, fill out and print in two fashions:

You can download and view the most recent version of the handbook.

** Note that files can be downloaded in two fashions:

1. Left click the file and allow it to load in the browser window. Then select file “Save As”. or

2. Right click the file and select “Save Target As”.

• 1a. Active Member Healthcare Claim Form
  This is the standard form for Healthcare claims.
• 1b. How to Complete your Healthcare Claim Form
  Detailed information of how to properly fill out your claim form.
• 2a. Pension Member Healthcare Claim Form
  This is the form for Pension Members Healthcare claims.
• 2b. How to Complete your Healthcare Claim Form
  Detailed information of how to properly fill out your claim form.
• 3a. Active Member Standard Dental Claim Form
  This is the form for Active Members Dental claims.
• 3b. How to Complete your Dental Claim Form
  Detailed information of how to properly fill out your claim form.
• 4a.  Pension Member Standard Dental Claim Form
  This is the standard form for Pension Members Dental claims.
• 4b. How to Complete your Dental Claim Form
  Detailed information of how to properly fill out your claim form.
• 5a. Active and Pension Member Standard Drug Claim Form – Assure Card
  This is the form for Drug Card claims applicable until age 65.