Forms
Below is a list of the most commonly requested forms organized by topic or audience.
Life Changes
Enrollment Forms
Active Participants and Pre-Medicare Retirees: Vision and Hearing
Medicare Retirees
Health Reimbursement Arrangement (HRA)
Death and Accidental Death Benefit
Beneficiary Designation forms must be requested from the Fund Office. Send an email to [email protected]. It must include your full name, date of birth, address, and phone number.
Disability Benefit
Health Care Directives
Completing a Health Care Directive allows you to inform others of your health care wishes. You have the right to state your wishes or appoint an agent in writing so that others will know what you want if you’re unable to communicate due to illness or injury.
Health Care Directive for Minnesota
Health Care Directive for North Dakota
Health Care Directive for South Dakota