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Welfare (Medicare/65+)

At Local 7, we understand the importance of providing our members with easy access to their Welfare (Medicare Participants 65 & Older) information. That's why we have compiled all the necessary forms and documentation in one convenient place. Simply browse through our selection to find the information you need.

SPD/Forms

*Welfare Summary Plan C Description - Medicare / 65 & Over

Authorization for Release of Health Information

Claim Reimbursement Form

Dental Out-of-Network Member Claim Form

Letter of Medical Necessity Template

Notice of Privacy Practices Form

Waiver of Coverage Form

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