Forms & Documents

From Summary Plan Description booklets to claim forms, find useful documents, forms and more here.

If you are a Pacific Coast Shipyards Metal Trades participant, please visit the plan administration site or call (844) 403-0032. All other members, please see below.

Benefits

PPO Medical
PPO Plan Summary Book
PPO Short Summary of Benefits and Coverage
Vera Whole Health Welcome Packet
Vera Whole Health Comparison Chart
Vera Flyer
CVS/Caremark Mail Order Form
CVS/Caremark Rx Reimbursement Form

Kaiser Medical
Kaiser Plan Summary Book
Kaiser HMO Short Summary of Benefits and Coverage
Building Trades Kaiser Plan
Pacific Coast Shipyard and Metal Trades Trust

Retiree Medical
Humana/RetireeFirst Medicare Brochure
Humana/RetireeFirst Medicare FAQ
Kaiser Senior Advantage Medicare Plan
Non-Medicare Retirees

Dental
Delta Dental MySmile
Delta Dental Claim Form

Vision
VSP Vision Plan Coverage Summary
VSP FAQ
VSP Claim Form

Mental Health
First Choice EAP Flyer
EAP Use Guide

Maternity
Maternity Notice
UA Maternity Benefit

Plan Forms
Health Plan Enrollment Form
Time Loss Form
Premium Waiver Form
Other Insurance Coverage Form
Medical Reimbursement Form

Retirement

WA State Plumbers & Pipefitters Pension
WA State Pension Plan Description
WA State Pension Designation of Beneficiary Form

WW Supplemental Pension – 401(k)
Supplemental Pension Plan Description
Voluntary Contribution Form
Beneficiary Form
Plan Brochure

UA National Pension Fund
Plan Booklet
National Pension Designation of Beneficiary Form

Trust & Will
Benefit Brochure