Plan Documents

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Here you’ll find the ILWU Local 142 documents and forms you need in Adobe PDF format. Don’t have Adobe Reader? Get it here

ILWU Local 142 Health Plan Documents

Summary of Benefits & Coverage (SBC)

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SBC Glossary

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ILWU Hotel Plan Documents

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 Prior Authorization List

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Provider Directory

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Frequently Asked Questions (FAQ’s)

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Helpful Documents and Forms

HIPAA Authorized Representative Form

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Urgent Care Listings

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Coordination of Benefits (COB) Questionnaire

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Akamai Way Flier

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