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CIGNA HealthCare Provider Directory and CIGNA Dental Provider Directory
Prescription Solutions Log-In Page
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SIU Halls
SIU Membership Application (pdf)
SIU Registration Form (pdf)
Benefits Applications
Seafarers 401(k) Plan
SHBP-Contracted Clinics
Upgrading Application (pdf)
Direct Deposit Form (pdf)
SEATU Application (pdf)
SEATU Pledge Card (pdf)
SIU Pledge Card (pdf)
UIW Pledge Card (Alaska) (pdf)
Member Rights/LMRDA
SARC
Communications from the Seafarers Health and Benefits Plans
> SHBP Guide (retirees) (PDF)
> SHBP Guide (active) (PDF)
> SHBP Level S guide (PDF)
> Seafarers Vacation Plan Guide (PDF)
> Seafarers Pension Plan Guide (PDF)
> Seafarers Money Purchase Pension Plan Guide (PDF)
> Notice -- Seafarers Pension Plan, Seafarers Money Purchase Pension Plan IRS Determination (January 2010) (PDF)
> CIGNA Dental Flyer (PDF)
> CIGNA Introduction Letter (for active members covered under Basic, Core and CorePlus) (PDF)
> CIGNA Introduction Letter (for pensioners who have health benefits) (PDF)
> CIGNA Introduction Letter (for Plan Level S participants)
> CIGNA ID Card Plan S Letter, June 2007 (for Plan Level S participants) (PDF)
> CIGNA ID Card Pensioners Letter 1, June 2007 (for Non-Medicare eligible pensioners) (PDF)
> CIGNA ID Card Pensioners Letter 2, June 2007 (for Medicare and Non-Medicare pensioners and spouses) (PDF)
> SHBP ID Card Pensioners Letter, June 2007 (for Medicare eligible pensioners) (PDF)
> CIGNA ID Card Actives Letter, June 2007 (for active members covered under Basic, Core, and CorePlus) (PDF)
> Plan Level S Introductory Letter
> Seafarers Pension Plan Annual Funding Notice -- April 2010 (PDF)
> 401(k) Safe Harbor Letter and Notice (Nov. 28, 2008)(PDF)
> NMU Annuity Notice 2007 (PDF)
> Former NMU 401(k) Plan (PDF)
> SHBP Annual Masectomy Notice 2010 (PDF)
CIVMAR news
> Request for Payroll Deduction for Labor Dues
> SIU Notice to CIVMARS -- 'Buddy System' MOU
> CMPI Documents
> CSRA Notice to SIU CIVMAR Members (PDF)
> SIU Government Services Division Survey (PDF)
> Union Continues EBIS Negotiations (PDF)
Hipaa
> SHBP Notice of Privacy Practices (PDF)
> SHBP Form Request to Amend (PDF)
> SHBP Form Request for Accounting (PDF)
> SHBP Form Authorization to Release Health Information (PDF)
> SHBP Form Request for Access (PDF)
> SHBP Form Request for Confidential Communications (PDF)
> SHBP Form Request for Restrictions (PDF)
> SHBP Power of Attorney (PDF)

Member Benefits & Resources

Seafarers 401(k) Plan

Listed below are links to some of the forms and the full enrollment kit (in PDF format) for the new Seafarers 401(k) Plan. Additional information is available toll-free at 800-421-5127 and elsewhere on the web at www.massmutual.com/retire/

Introductory Letter
Download Form - PDF (213KB)

Plan Highlights
Download Form - PDF (65KB)

Beneficiary Form
Download Form - PDF (82KB)

Rollover Form
Download Form - PDF (97KB)

Enrollment Kit (1.4 MB)
Download Form - PDF (1.4MB)

Distribution Election Form
Download Form - PDF (154KB)

 
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