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Participant Communications:

  • Option to Discontinue Coverage (December 2016)

  • Notice of Nondiscrimination (September 2013)

  • Health Care Exchange Notice  (September 2013)

  • Notice of Health Plan Privacy Policy  (September 2013)

  • MRA Eligible and Non-Eligible Health Care Expenses  (January 2012)

  • Continuation Of Your Group Health Care Coverage (COBRA)

  • Important Information Regarding Medicare Part D Prescription Drug Coverage (August 2005)


  • Summary of Material Modifications:

  • Plan Changes Effective July 2017 (April 2017)

  • Plan Changes Effective October 2016  (September 2016)

  • Cost of Coverage (December 2015)

  • IRS Reporting - Form 1095-B  (December 2015)

  • Change in Dental Carrier (September 2014)

  • Eligibility and MRA Changes (May 2014)

  • Benefit and Eligibility Changes Effective January 1, 2012 (December 2011)

  • Medicare Advantage PPO Overview (November 2011)

  • Health Care & Education Affordability Reconciliation Act of 2010 (June 2011)

  • Continuation and Reinstatement of Eligibility Provisions (February 2011)

  • Mental Health Parity, Return-to-Work Eligibility (March 2010)

  • Trustee Appointment Changes (June 2007)

  • Blue Cross Blue Shield's BlueHealthConnection (May 2007)

  • Motor Vehicle Incident Related Health Care Coverage (Second Notice) (April 2007)

  • Motor Vehicle Incident Related Health Care Coverage (March 2007)

  • Dental Coverage for Active Participants  (December 2006)

  • Self-Payment Rates (August 2006)

  • Self-Payment Rates (January 2005)

  • Designation of Beneficiary (September 2004)

  • Motor Vehicle Incident Related Health Care Coverage  (June 2004)

  • Self-Payment Rates (January 2004)

  • Self-Payment Rates (February 2003)

  • Benefit Modifications, Dependent Coverage Ages 19 to 25 (December 2002)

  • Blue Cross Blue Shield Community Blue PPO (September 1999)

  • Back To Menu



    Upper Peninsula Plumbers' & Pipefitters' Fringe Benefit Funds
    6525 Centurion Drive
    Lansing, Michigan  48917-9275
    Phone: 517.321.7502 | Toll Free: 800.342.1730 | Fax: 517.321.7508