Benefits

Good health starts with knowing your benefits!

After each SPD is published, certain changes may have been made to your benefits. These changes are reflected in a Summary of Material Modifications (SMM) that are mailed to each member. View these SMMs on our library page. (Click your plan button under "California Region".)

Prior Authorization

Certain types of care require “prior authorization” or approval. This helps us to keep costs low and forces doctors and nurses to talk better to each other about the care you receive.

Click here to see a list of what needs prior authorization.

To submit prior authorizations, have your doctor contact HealthCheck360:
Phone: (844) 462-7812
Fax: (563) 587-5130

Forms

Here are some forms you may want to print and fill out before you visit us in the Fund office. You may also mail some of them.

Call us if you need help understanding these forms: (855) 483-4373

• Claim Form
• Life Insurance Beneficiary
• Enrollment
• Coordination of Benefits
• Vision reimbursement
• Authorization for release of protected health information
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Pharmacy forms