Benefit Trust Fund - Catalog of Benefits & Other Forms
actCOB   Active Catalog of Benefits A complete description of all the benefits for Active members administered through the Trust
supCOB Supervisor Catalog of Benefits A complete description of all the benefits for Supervisor members administered through the Trust
retCOB Retired Catalog of Benefits A complete description of all the benefits for Retired members administered through the Trust
Beneficiary Change Form Designate who gets the policy benefits if you pass away
Change of Address Update where you are living now
Notice of Privacy Practices
Benefit Trust Fund		 A brief summary of
how the Privacy Rule applies to the Plan, and to your protected health information that the Plan creates or receives.
New York Life
Program Document and Summary Program Description

This document covers administration of Trust programs underwriten by New York Life.

The benefits offered through the Plan are
provided pursuant to group insurance policies
numbered G-29307, G-29308, G-29309, G-29310,
G-20312, and G-29313

Summary Material Modification
Benefit trust Fund		 Document detailing the internal restructuring of Trust programs. Updated October, 2011.