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Comparison Forms

The following is a list of Comparison Forms that can be requested from the Fund Office.

Some of the plan documents may be available for online viewing in the PDF file format. Adobe's Acrobat Reader® is required.

If you do not have Adobe’s Acrobat Reader® installed on your computer, click here to go to the Adobe website to download and install the most recent version.

If you would like the document mailed to you:

  1. Select the checkbox next to the document’s name (you can select as many different documents as you like).
  2. Once your selections are made, scroll down this page and comlete your personal information.
  3. When ready to send your request, click the Submit button to automatically send the Email request to our Customer Service section.
General Health & Welfare Forms
Document
Effective Date of Plan Benefits Compared/Changed
In-Mail Request
March 1, 2008
March 1, 2008
March 1, 2008
January 1, 2008
 
January 1, 2008
 
March 1, 2007
 
March 1, 2007
 
March 1, 2007
 
September 1, 2006
 
September 1, 2006
 
September 1, 2006
 
March 1, 2006
 
March 1, 2006
September 1, 2005
 
September 1, 2005
 
March, 2005
 
December 1, 2004
 
December 1, 2004
 
December 1, 2004
 
September 1, 2003
 
September 1, 2003
 


Personal Information
(* Indicates a required field)

Name*
 
Health Plan ID
 
Address 1*
 
Address 2
 
City*
 
State/Province*
 
ZIP/Postal Code*
 
Email Address
 
Telephone Number
 
TeleFAX Number
 

 

Copyright ©2003; Laborers Funds Administrative Office of Northern California, Inc. All rights reserved.
Derechos Reservados Propiedad Literaria ©2003, La Oficina Administrativa de Fondos de los Obreros del Norte de California, Inc.