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Notices

Current Health Summary Annual Report

Health Payment Deadline and Grace Periods Effective January 1, 2008

Health Fund Eligibility and Transition Rules - Effective January 1, 2008

$100.00 Quarterly Premium for Health Plan - Effective January 1, 2007

Online Health Care Payments - Effective October 1, 2006

Emergency Room Copay and New Three Tier Copay Levels for Pharmacy under CIGNA Medical Plan - Effective July 1, 2006

NY State COBRA Subsidy Assistance Program for Health Plan

CIGNA Web Network Provider Directory

Medical options available under the CIGNA Open Access Plus (OAP) Plan

Sample CIGNA Explanation of Benefits for Out of Network
claims (PDF)

Sample CIGNA Explanation of Benefits for In-Network claims
(PDF)

CIGNA Self-Pay Dental Information

COBRA Entitlement

Self-Pay After COBRA - Vested Beyond COBRA

Medicare Eligibility

Medicare Self-Pay Participants and the OAP

Medical options available under the CIGNA Plan for Medicare Supplemental Coverage

Davis Vision Summary of Benefits (PDF)

Artists' Health Insurance Resource Center

Supplemental Workers' Compensation Plan

Supplemental Workers' Compensation Plan Explanation of Benefits

Health Privacy Notice Summary

Health Privacy Notice

Claims and Appeals Procedures

Women's Cancer Act

Mammography and PAP Smear Screenings

Smoke and Haze Study Report

HIPAA (Health Insurance Portability and Accountability Act)

in your area and covered under your plan.
Download Health Forms

CIGNA Health Claim Form

CIGNA Prescription Claim Form

Dependent Coverage Form

Dental Enrollment Form

Dental Out of Network Claim Form for the PPO Plan

Davis Vision Out of Network Claim Form

Domestic Partners Affidavit

HIPAA Forms


A summary guide to health benefits available
through the Health Fund.



Find out the answers to questions such as:

OAP Info

What is an HMO?

What is the Indemnity Plan?

How am I covered under the CIGNA Dental Plan?

and 99 more questions and answers

©2001, 2002 Equity League Pension and Health Funds This site does not change or otherwise interpret the official Plan documents. To the extent that any of the information contained in this website is inconsistent with the official Plan documents (which, of course, includes the Trustees' rights to amend or modify the Plans at any time), the plan documents will govern in all cases. No official (other than the Trustees) has any authority to interpret the Plans, or other official Plan documents, or to make any promises to you about them. Terms of Use | Privacy Policy