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Welfare Plan

This page will provide you with any forms associated with the Plumbers Local 14 Welfare Plan.

FAQ
Horizon
Envision Rx Options
Forms


Click here to download the Horizon Health Insurance claim form
[4/30/2008] - This form is used to submit health care and vision claims to Horizon. link

Click here to download the Horizon dental service report
[4/30/2008] - This form is used to submit a dental claim to horizon. link

Click here to download the Envision RX member reimbursement form
[4/30/2008] - This form is used to submit out of pocket expenses for prescriptions. link



   




 

                                           
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