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Home
Testimonials
Training
Contractor Partnering
Organizing
Political Action
Fund Office
Provider Info
2017 CEV Instructions
Continued Eligibility Form
Provider Search Instructions
Forms
Initial Enrollment Form
2017 Spouse Declaration
2017 Dependent Declaration
Enrollment Addition Form (New Spouse/Child)
HRA Claim Form
Fitness Membership/Health Class RX Form
National Pension Beneficiary Form
Death Benefit Beneficiary Form
Local Pension Beneficiary Form
PHI Authorization Form (Protected Health Information)
Injury Detail form
Dental & HRA Opt Out Forms
Short-term Disability Form
Dental
Health Fund
Summary of Benefits and Coverage
2017 Plan Information
Notice of Privacy Practices
Why Use Doctors Now and Urgent Care Clinics
2017 Stroke Detection Flyer
Children’s Health Insurance Program (CHIP)
HRA
HRA Claim Form
HRA Enhancements 2017
Local Pension
Local 33 Pension Fund – IRS Submission Notice
National Pension
Member Portal
Member Portal
National Pension Beneficiary Form
Short Term Disability
Loss of Time Application
Contact Us
Vision
Prescription
Local Pension Beneficiary Form
Jurisdiction
Links
Members Only
Videos
How to Apply
Contact Us
2501 Bell Avenue, Des Moines, IA 50321
— Main Menu —
Home
Testimonials
Training
Contractor Partnering
Organizing
Political Action
Fund Office
- Provider Info
- - 2017 CEV Instructions
- - - Continued Eligibility Form
- - Provider Search Instructions
- - - Forms
- - - - Initial Enrollment Form
- - - - 2017 Spouse Declaration
- - - - 2017 Dependent Declaration
- - - - Enrollment Addition Form (New Spouse/Child)
- - - - HRA Claim Form
- - - - Fitness Membership/Health Class RX Form
- - - - - National Pension Beneficiary Form
- - - - Death Benefit Beneficiary Form
- - - - Local Pension Beneficiary Form
- - - - PHI Authorization Form (Protected Health Information)
- - - - Injury Detail form
- - - - - Dental & HRA Opt Out Forms
- - - - Short-term Disability Form
- Dental
- - Health Fund
- - - Summary of Benefits and Coverage
- - - 2017 Plan Information
- - - Notice of Privacy Practices
- - - Why Use Doctors Now and Urgent Care Clinics
- - - 2017 Stroke Detection Flyer
- - - Children’s Health Insurance Program (CHIP)
- HRA
- - HRA Claim Form
- - HRA Enhancements 2017
- Local Pension
- - Local 33 Pension Fund – IRS Submission Notice
- - - National Pension
- - - - Member Portal
- - - - - Member Portal
- - - - National Pension Beneficiary Form
- Short Term Disability
- - Loss of Time Application
- - - Contact Us
- Vision
- - Prescription
- - Local Pension Beneficiary Form
Jurisdiction
Links
Members Only
- Videos
How to Apply
Contact Us
Memorials
Jeff Thomsen
Jeff Thomsen, 63, passed away on Friday, October 4, 2013. A graveside service will be held on Tuesday, October 8 at 11 a.m. at the Iowa Veterans Cemetery in Adel, Iowa (near Van Meter).
27 Jan 14
By :
Justin Rogers
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