IMPORTANT TERMS

Fund Office

1515 Market Street, Suite 1020,
Philadelphia, PA 19102
(215) 568-3262 ext. 1400
(800) 338-9025 ext. 1400

Documents and Forms

Health Fund Forms & Documents

36Phlex
Open Enrollment Guide

BOLR Full-Time
Open Enrollment Guide

BOLR Part-Time and Weekend Workers
Enrollment Guide

BOLR BMCA Full-Time
Open Enrollment Guide

BOLR BMCA Full-Time Open Enrollment Guide
for Participants with Employer-Paid Premiums
for Dependent Coverage

BOLR BMCA Part-Time
Open Enrollment Guide

Translations of any materials into languages other than English are intended solely as a convenience to our non-English-reading participants and are not legally binding. We have attempted to provide an accurate translation of the original material in English, but due to the nuances in translating to a foreign language, slight differences may exist.

Summaries of Benefits & Coverage 2024

Summaries of Benefits & Coverage 2025

Pension Fund Forms & Documents

Summary Plan Descriptions

Forms

Legal Fund Forms & Documents

Summary Plan Description

Contacts

Health Fund Contacts

Independence Blue Cross

(844) 258-3463 www.ibx.com
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Health Management Nurse

Available at the Fund Office or by phone Monday-Friday from 9 a.m. to 4:30 p.m. (215) 568-2345 (800) 338-9025 ext. 1401

CVS Caremark

(800) 552-8152 www.caremark.com
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Delta Dental

800-932-0783 www1.deltadentalins.com
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National Vision Administrators

800-672-7723 e-nva.com
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Pension Fund Contacts

Pension Fund

215-568-3262 ext:1400

Legal Fund Contacts

Legal Fund

215-568-3262 ext:1400

Spear Wilderman

(215) 732-0101 spearwilderman.com

SRSP Contacts

Fund Office

215-568-3262 ext:1400

John Hancock

(833) 388-6466 (English) (888) 440-0022 (Spanish) myplan.johnhancock.com