Printable Forms
- Dental Claim Form
- Vision Claim Form
- Hearing Claim Form
- Medical Reimbursement Form 2020
- AFLAC Critical Illness Claim Form (See the Fund Manager for information)
Open Enrollment
September is Open Enrollment Month for members to add eligible spouses and dependents to the Welfare Fund’s Supplemental Dental Coverage
Enrollment for September of 2020 begins Sept 1st and ends on Sept 28th. All forms and documentation must be received by this date.
- Supplemental Coverage Enrollment Form
- Enrollment Documentation Requirements
- Important Information for Dependent Coverage
- Domestic Partner Letter
- DENTAL OPEN ENROLLMENT 2020-2021
Fee Schedules
Benefit and Program Information
Summary Plan Description (SPD)
BENEFITS AT A GLANCE
Statement of Grandfathered Status
AFLAC Group Specified Disease Booklet
1800MD: Activating Your Account
1800MD: Member Information
Stacey Braun Financial Counseling Program
HIPPA Privacy Notice
HIPPA