Health & Welfare
- 2020 ESI National Preferred Formulary List
- Benefit Fund 2020-2021 Calendar
- Summary of Benefits and Coverage 2020 - Class II
- Summary of Benefits and Coverage 2020 - Class I
- 2020 COB-Retired
- 2020 COB-Active
- Health & Welfare Federal Acts & Guidelines Notice
- Notice of COBRA Rights
- Helpful Contact Information
- Vision Benefit Direct Reimbursement Form
- Affordable Care Act Section 1557 Notice
- HRA Claim Form
- Benefit Fund Direct Deposit Form
- Spouse Employment Verification Form
- Maiden Name Form
- Change Contact Information Form
- Census and Beneficiary Designation Form
Summary Plan Description (SPD Documents)
- Carpenters of Philadelphia & Vicinity Summary Plan Description-Savings Plan (May 2020)
- Carpenters of Philadelphia & Vicinity Summary Plan Description-Pension and Annuity Plan (May 2020)
- Independence Administrators Benefit Booklet (Basic Coverage)
- Independence Administrators Benefit Booklet (Full Coverage)
- Carpenters of Philadelphia & Vicinity Summary Plan Description-Health & Welfare Plan (May 2020)