CONNECTICUT CARPENTERS BENEFIT FUNDS
10 BROADWAY, HAMDEN, CT 06518 | (203) 281-5511 | FAX (203) 288-3235 | (800) 922-6026

Important Telephone Numbers:

General Information, Forms and Applications or

 Retirement Questions (800) 922-6026 or (203) 281-5511 

Fax (203) 288-3235

Eligibility -- Ext. 641

Claims Questions -- Ext. 640

Update Personal Information -- Ext. 641

Members
Login here for access to your personal fund information

CT Employers
 Login to access the on-line contribution reporting and receipts system

RI Employers
 Login to access the on-line contribution reporting and receipts system

Contribution Forms

Business Agents CT

Business Agents RI

NE Regional Council of Carpenters

Whats New:

• Summary of Benefits and Coverage for Medicare (431Kb)
• Summary of Benefits and Coverage for Active / Non-Medicare (405Kb)
• Summary Annual Report (18Kb)
• Health Care Reform and Mental Health Parity
• CHIP
• Adult Dependent Election Form (104Kb)
• New Policy For Specialty Drugs

    Plan Booklet  (3.96Mb)

    Frequently Asked Questions

• Health Privacy Notice (53Kb)

• Health Benefit Claim Form (46Kb)

• Disability Claim Form (51 Kb)

• Authorization for Payment of Health Self-Pay from Fund (88 Kb)

• Authorization to Disclose Protected Health Information (126Kb)

• Appointment of Personal Representative form (100Kb)

• Connecticut Carpenters Health Fund Privacy Notice Effective April 14, 2003

• Claims and Appeals (207Kb)

• COBRA General Notice (121Kb)

• COBRA Notice A (117Kb)

• COBRA Notice of Qualifying Event (82Kb)

• COBRA Notice of early Termination (84Kb)

• Reminder of Reimbursement Agreement (107Kb)

• 10 Helpful Hints To More Cost Effectively Utilize Your Health Plan (64Kb)  

Network Information
Provider Directory

Important Anthem Notice

click here for update

Find a Doctor:

Click here to be linked to the Physician Provider Directory

Medical ID Cards:

Please be sure to bring your new Anthem Medical ID Card with you

to all provider visits

  Please be sure to present your new ID card at all pharmacy visits

Medical ID Cards:

Please be sure to bring your new Anthem Medical ID Card with you

to all provider visits

Co-Pay is $20

Member Assistance Program

1-888-373-5073

Dental Care

To find a dentest click on the link below

Prescription Drugs

 OptumRx specializes in the delivery, clinical management and affordability of prescription medications and consumer health products.

 Features include:

• Benefit Information
• Online Refills
• Order Status
• Participating Pharmacies

 Or call Customer Service at  1-800-797- 9791

You can check to see if your prescription is covered by clicking here to download the 2013 Formulary (568 Kb)

Click here for the Specialty Drug List

Vision Care

 Davis Vision offers a fully interactive member centric web site to provide information and services for beneficiaries.    

 Through the Davis Vision web site, members can view plan information for themselves and their family members and

 take advantage of a variety of helpful features.  The web site provides interaction in both English and Spanish.

 Click here for a link to view the Vision Care Plan Benefit Description.pdf

 Fund's vision care provider link below