WebFeb 4, 2024 · Use this form if you are an active or retired member of Local 1070. Please mail application to: District Council 37, Health & Security Plan, 55 Water Street New … WebStudents are required to submit a Universal Health Certificate and an Oral Health Assessment to the school each year ( DC Code § 38–601 et seq. ). Additionally, students …
APRIL NEWS and UPCOMING EVENTS – DC37
WebHealth Benefits Program. 22 Cortlandt Street, 12th Floor. New York, NY 10007. 3) Inquiries and questions can be emailed to [email protected] - do not send forms through email (see #1 and #2 above) 4) For questions regarding the PICA prescription drug benefit program please call 1-800-467-2006. 5) If you are a HIP-HMO member turning 65 ... WebFeb 18, 2024 · The DC 37 Health & Security Plan makes sure you and your family are covered, healthy, and safe through 2024. ... be sure to update your information and submit the necessary forms and supporting documentation to the DC 37 Eligibility & Enrollment Unit. All H&S Plan forms, including the Change of Status Form, ... cornfield classic tully 2022
Dc 37 Beneficiary Forms - Fill and Sign Printable Template Online
WebMar 29, 2024 · NEWS, UPCOMING EVENTS and SERVICES COVID-19 VACCINES LET DC 37 BOOK YOUR COVID-19 VACCINE APPOINTMENTS: DC 37 can help you book your COVID-19 vaccine appointment. Please fill out this form and a DC 37 representative will call you to book your appointment. What you need to know: * To confirm eligibility, you can … WebDISTRICT COUNCIL 37 HEALTH & SECURITY PLAN 125 BARCLAY STREET, NEW YORK, N.Y. 10007 (212) 815-1234 CLAIM FOR DIRECT OPTICAL REIMBURSEMENT PLEASE READ CAREFULLY: Claims … WebTotal fee amount (box #32 on the ADA claim form) If any of the above information is omitted, the pre-authorization or claim cannot be processed and will be returned to the … cornfield close bomere heath