Health Benefits
| ILWU Local 13 Health Benefits Office 320 W. Golden Shore Drive, Suite 300 Long Beach CA, 90802 Phone: 310.830.6116 Fax: 310.830.6065 Get Google Map and Directions > |
ILWU / PMA Coastwise Claims Office – Group 6475 814 Mission Street, Suite 300 San Francisco, CA 94103 Phone: 800.955.7376 www.ilwu-pma-ppo.com |
| Download Health Benefit Forms |
- Health Benefits Bulletin #05 05-07-09
- Health Benefits Bulletin #04 04-02-09
- Health Benefits Bulletin #03 03-05-09
- Health Benefits Bulletin #02 02-05-09
- Health Benefits Bulletin #01 01-15-09
- Health Benefits Bulletin #01 01-10-08
- Health Benefits Bulletin #02 02-13-08
- Health Benefits Bulletin #03 03-06-08
- Health Benefits Bulletin #04 04-02-08
- Health Benefits Bulletin #05 05-01-08
- Health Benefits Bulletin #06 06-04-08
- Health Benefits Bulletin #07 07-10-08
- Health Benefits Bulletin #08 08-07-08
- Health Benefits Bulletin #09 09-08-08
- Health Benefits Bulletin #04 12-05-07 Staph Infection
- Health Benefits Bulletin #03 11-06-07
- Health Benefits Bulletin #02 10-26-07
- Health Benefits Bulletin #01 05-30-07
- Agreement to Reimburse Benefits
- Alchoholism Drug Recovery Program
- Benefits Plan Summary & Change Over Forms
- Casualty Board Updates
- Coastwise Student Verification Form
- Dental Benefits Program
- Dependent Child Verification Form
- Diabetic Durable Equipment Claim Form
- Federal Pensioners' Withholding Form.pdf
- Harbor Dental Associates
- Hearing Aid Claim Form
- Kaiser Chiropractor Claim Form
- Medical Claim Form (Active Member)
- Medical Claim Form (Retired Member)
- Non-Industrial Disability Supplement Description
- Pensioner Change of Address
- Prescription Drug Plan Claim Form
- Record Change Form
- State Disability Supplement Claim Form
- State Pensioners' Withholding Form
- Student Certification Kaiser Permanente
- Subsequent Artificial Limbs and Eyes Benefit
- Vision Care Plan
- Welfare Plan Beneficary Designation
- What To Do In Case of an Injury