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Benefit Plans

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      • 2025 Full Select Standard Formulary Medication List – Effective July 1, 2025
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      • Medication Step Therapy – Select Formulary – Effective July 1, 2025
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  • Contact Us
  • Annuity & Profit Sharing
    • Board of Trustees
    • Amendments
    • Applying for a Withdrawal
    • Fee Disclosure
    • Forms
    • Investment Changes
    • Plan Document
    • QDIA Yearly Notice
    • Retirement Planning Calculator
    • Special Tax Notice
    • Summary Annual Reports (SAR)
    • Summary Plan Description (SPD)
    • FAQ
  • Pension
    • Board of Trustees
    • Amendments
    • Annual Funding Notice
    • Annual Pension Letter
    • Forms
    • Plan Document
    • QDRO Procedures
    • Summary Plan Description (SPD)
    • FAQ
  • Welfare
    • 1095B TAX INFORMATION
    • Change Healthcare Breach 2024 – Impact to Members
    • Board of Trustees
    • Annual Notifications
    • Forms
    • Health & Welfare Statement
    • Life Insurance Certificate
    • Notice of Privacy Practices
    • Plan Document/Summary Plan Description
    • Procedures for Self Payments
    • Quarterly Fringe Statement
    • Retiree and COBRA Premium Rates
    • Summary Annual Reports (SAR)
    • Summary of Benefits & Coverage (SBC)
    • Welfare Amendments
    • Welfare Claim Issues
    • Welfare FAQ
  • I-Site EOBs
  • Forms
  • Family Medical Ctr
    • Northwind Pharmacy – Home Delivery
    • School & Sports Physical
    • Additional Activate Health Centers Across America
    • Wellness Program Physician Form 2026
  • Service Providers
    • Consociate
      • Consociate Portal Quick Start Guide
      • HRA Training Video 2019
      • HRA Reimbursement Form
      • Mobile App Video
      • How to Use HRA
    • BCBS Provider Lookup
    • Optum Rx
      • Welcome to Optum Rx
      • Optum Rx – Contact Numbers
      • Get Smart About Prescriptions
      • Optum Rx – Mail Order Form
      • Optum Rx – Pharmacy Benefit Summary
      • Optum Rx – Prescription Reimbursement Form
      • 2025 Full Select Standard Formulary Medication List – Effective July 1, 2025
      • Prior Authorization (PA) – Select Formulary Medications – Effective July 1, 2025
      • Medication Step Therapy – Select Formulary – Effective July 1, 2025
      • Medication Quantity Limits – Step Formulary – Effective July 1, 2025
      • Formulary Updates for Tier 1, Tier 2, Tier 3 Medications – Effective July 1, 2025
    • Delta Dental
      • Delta Dental Provider Look Up
      • Delta Dental – PPE Update
    • Express Scripts – Medicare PDP
      • IBEW Local No. 145 Medicare Part D Rx Summary
      • Express Scripts Medicare Part D 2026 Formulary
    • Merrill Lynch
      • Merrill Lynch – Member Portal Login
      • Local Merrill Lynch Website
    • MDLIVE Virtual Visits
      • MDLIVE Video
    • Personal Assistance Program
      • New Portal Login Information
      • PAS Brochure
      • EAP Brochure
    • SentryHealth – Care Concierge
    • Telligen CONNECT Member Portal
      • Wellness Program Physician Form 2025
      • 2024 Wellness Program Information
    • Vision Service Plan (VSP)
      • (VSP) Vision Benefits Summary
      • (VSP) Out Of Network Form
      • VSP – Featured Frames Listing
      • VSP – Featured Frames $20 Savings Coupon – 2024
      • VSP Exclusive Member Extras
      • VSP ProTec Safety Plan
      • VSP Eye Conic Online Shopping
      • VSP TruHearing Hearing Aid Savings
  • Trustee Portal

Fee Disclosure

404(a)(5) Participant Disclosure Notice 10-2026)

404(a)(5) Participant Disclosure Notice 2025

404(a)(5) Participant Disclosure Notice 2024

404(a)(5) Participant Disclosure Notice 2023

404(a)(5) Participant Disclosure Notice 2022

404(a)(5) Participant Disclosure Notice 2021

404(a)(5) Participant Disclosure Notice 2020

404(a)(5) Participant Disclosure Notice 2019

404(a)(5) Participant Disclosure Notice 2018