Metallic Lathers
Trust Fund
Office Staff

Giovanna Serrano Receptionist Extension 10
Sylvia Reyes Pension / Vacation Extension 12
Carol Stephenson Medical Claims Extension 13
Jennifer Garcia Accounting Extension 17

Important Forms

Aetna Forms

• Attending Physician Statement
• Coverage Continuation Request for Handicapped Child or Disabled Student
• Dental Benefits Request
• Employee Request for Information
• Medical Benefits Request
• Prescription Drug Record
• Protected Information Authorization Request
• Reimbursement Agreement
• Request for Federal Income Tax Withholding (W4-S)
• Rx Home Delivery Order Form

Other Claim Forms

• Disability Claim Form

Reciprocity Forms

• Reciprocity Agreement and Form

Beneficiary Cards

• Annuity Account Beneficiary Card
• Life Insurance Beneficiary Card
• Pension Fund Beneficiary Card
• Vacation Fund Beneficiary Card

Employer Remittance Forms

• 2010 PLA Rate Sheet and Contribution Form
• 2010 Standard Employer Contribution Letter
• 2010 Wall & Ceiling Contribution Letter
• 2010 Standard Employer Contribution Form

Plan Information
and Related Documents

Summary Annual Reports

• 2008 Annuity Fund
• 2008 Trust Fund
• 2008 Vacation Fund
• 2008 Scholarship Fund
• 2008 Dental Fund
• 2008 Apprenticeship Fund

Health Fund

• Amendment - NY Senate Bill 3986
  Complaints and Appeals - Health Coverage July 2009
• Amendment - Colorado HB 1410
  Colorectal Cancer Treatment
  June 2009
• Amendment - NY Senate Bill 8482
  (Timothy's Law) - July 10, 2008

Annuity

• Investment Options Guide