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

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

Contribution Forms

NE Regional Council of Carpenters

    Plan Booklet

    Frequently Asked Questions

• Health Benefit Claim Form (385Kb)

• Disability Claim Form (51 Kb)

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

• Information on Health Fund Changes effective 01/01/03 (22Kb)

• Authorization to Disclose Protected Health Information (126Kb)

• Appointment of Personal Representative form (100Kb)

• Important Notice - Changes to your Health Plan Benefits Effective July 1, 2003 (134Kb)

• 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)  

Effective January 1, 2005

  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

Effective July 01, 2003 Co-Pay is $20

Find a Doctor:

Click here to be linked to the Physician Provider Directory

Network Information
Provider Directory

   Prescription Drugs

 Prescription Solutions is a leading provider of comprehensive prescription benefit services throughout the

 United States. Prescription Solutions contracts with some of the largest pharmacy chains.

 Log on to your pharmacy benefit web site to access plan information and prescription services.

 Click here for the link to the Fund's prescription drug provider Prescription Solutions

 Features include:

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

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

             2005 Prescription Solutions Formulary Drugs (51 Kb)

 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

 Click here for a link to the Fund's vision care provider Davis Vision