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Serving the Union Members of the Bakery and Confectionery Industry

Standard Funds Documents

Participant Enrollment Form

Participant Change of Information Form


Health Benefit Documents

Health Benefits Agreement & Declaration of Trust

State Health Insurance Assistance Program Contact Listing

W-1 Summary Plan Description and Rules & Regulations

W-Plans for Medicare-Eligible Pensioners SPD and Rules & Regulations

Retiree Enrollment Form for W-1 Benefits

P-Plan Summary Plan Description and Rules and Regulations

P-Plan - Summary of Material Modifications December 2017

P-Plan - Summary of Material Modifications December 2015

P-Plan Beneficiary Designation Form

P-Plan Claim Form

HIPAA Privacy Notice


Pension Benefit Documents

Pension Fund Amended and Restated Rehabilitation Plan December 2, 2021

Pension Fund Amended and Restated Rehabilitation Plan November 30, 2017

Pension Fund Agreement & Declaration of Trust

Notice of Rehabilitation Plan Adoption

Revision to Rehabilitation Plan Effective December 31, 2020

Pension Fund Rehabilitation Plan

Pension Application Form

Pension Evaluation Form

Pension Summary Plan Description and Rules & Regulations as of January 2010 (Version P-6123-10)

Pension Summary Plan Description and Rules & Regulations as of June 2013 (Version P-6123-11)

Pension Summary Plan Description and Rules & Regulations as of June 2020 (Version P-6123-12)

Pension Beneficiary Designation Form

Pension Direct Deposit Authorization Form

Joint and Survivor 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


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