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Participant Communications |
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Please Note: In order to view and print the following forms, you must have the Adobe Acrobat Reader installed on your computer. If you
do not have the Adobe Acrobat Reader Software and wish to download it, you may do so by clicking on the image below.
Medicare Part D Creditable Coverage Certificate
Continuation of Group Health Care Coverage (COBRA)
Health Plan Privacy Policy (HIPAA)
Mail Order Prescription Drug Program Frequently Asked Questions
Summary of Material Modifications:
Self-Payment Rates (August 2006)
Supplemental Benefit Account (SBA) (January 2005)
Michiana Area Electrical Workers Benefits Web Site
6525 Centurion Drive, Lansing, MI 48917-9275
Phone 877.244.9473 • Fax 517.321.7508
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