Standard Funds Documents: Participant Enrollment Form Participant Change of Information Form Health Benefit Documents: Health Benefits Agreement & Declaration of Trust Unicare MedicareRX Rewards Evidence of Coverage Booklet UniCare MedicareRx Rewards Formulary Booklet State Health Insurance Assistance Program Contact Listing W-1 Summary Plan Description and Rules & Regulations Retiree Enrollment Form for W-1 Benefits P-Plan Summary Plan Description and Rules and Regulations P-Plan Beneficiary Designation Form P-Plan Claim Form Pension Benefit Documents: Pension Fund Agreement & Declaration of Trust Pension Application Form Pension Evaluation Form Pension Summary Plan Description and Rules & Regulations Pension Beneficiary Designation Form Pension Direct Deposit Authorization Form Pension Medical Examination Form Husband and Wife Rejection Form Change of Address Form Federal IRS Documents: Federal IRS Form W-4P Federal IRS Form W-9 Standard Collective Bargaining Clause Documents: Health Benefits SCBC Daily Health Benefits SCBC Hourly Health Benefits SCBC Monthly Pension SCBC Hourly Pension SCBC Daily Having trouble viewing these documents?         PDF (Portable Document Format) files require Adobe® Acrobat® Reader® Click on the link to the right to get Acrobat® Reader® for free. Home || Trustees || Health Benefits || Pension || Mailing Updates Documents || FAQ || Contact Us || Disclaimer