

You will need Adobe Reader to open most of these forms. If you have questions, please call us at 1.866.364.4822 or e-mail us at HUBB@seiu503.org.
2012 Plan Year MaterialsThis booklet contains information about the benefits provided by HUBB including, medical, dental & vision options, as well as rates and other important program information. Use this form to enroll in HUBB insurance. Use this form to make changes to your enrollment and contact information. Domestic Partner Affidavit Use this form to cancel coverage
2012 Kaiser Permanente Summary Plan Description-Medical (coming soon)
2012 Kaiser Permanente Summary Plan Description-Dental (coming soon) |
Materiales en español de inscripción¡INFORMACIÓN IMPORTANTE EN CUANTO A BENEFICIOS de HUBB EFICACES EL 1 DE ENERO DE 2012 Материалы для регистрации на русском языкеВАЖНАЯ ИНФОРМАЦИЯ ОТНОСИТЕЛЬНО ЛЬГОТ HUBB, ЭФФЕКТИВНЫХ НА 1 ЯНВАРЯ 2012! |