Welcome to the NEW Online Services Application

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Access My Benefits
Go Green
Send a Secure File

Cigna Health Matters Plus
Superior Vision Provider Search
Cigna Dental Provider Search
MyCigna Online
National Pension Website
UA LU630

Online: Contact Us
Email: [email protected]
Phone: 800-822-5899
Fax: 561-471-0043

Accident or Injury Details Form
Annual Verification Form
CVS Mail Order Form
Enrollment Form
PHI Authorization Form
Subrogation Agreement with Letter

COVID-19 Coverage
Notice of Privacy Practices

2021 CVS Formulary Drug Removals
2021 Performance Drug List Standard Control
Schedule of Benefits A
Summary Plan Description
Summary of Benefits and Coverage A 2021 - Active & NonBargs
Summary of Benefits and Coverage C 2021
Superior Vision Benefit Summary

Medicare Eligible Retirees - Labor First Contact
Summary of Material Modifications (SMM) – RX Plan Change effective 1.1.2019

Medicare Eligible Retirees Humana Formulary
Summary Plan Description (SPD) with SMMs
Summary of Benefits and Coverage B 2021 - Retirees

Death Application Packet
Direct Deposit Form
Early Retirement Declaration
Physicians's Certification
Retirement Application Instruction Letter
Retirement Application
Retirement Normal Early or Disability Application Packet
Working Status Form

Summary Plan Description (SPD) effective 7.1.2018