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Member Benefits & Resources

CIGNA HealthCare Provider Directory and CIGNA Dental Provider Directory
Prescription Solutions Log-In Page
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White House & Congressional Links
Labor and Maritime Links
SIU Halls
Benefits Applications
Seafarers 401(k) Plan
SHBP-Contracted Clinics
Upgrading Application (pdf)
Direct Deposit Form (pdf)
SEATU Application (pdf)
SEATU Pledge Card (pdf)
Member Rights/LMRDA
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)
> 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
> NMU Annuity Notice 2007 (PDF)
> Former NMU 401(k) Plan (PDF)
> 401(k) Safe Harbor Letter and Notice
> SHBP Annual Masectomy Notice 2008 (PDF)
CIVMAR news
> CMPI Documents
> CSRA Notice to SIU CIVMAR Members (PDF)
Hipaa
> SHBP Notice of Privacy Practices (PDF)
> SHBP Form Request to Amend (PDF)
> SHBP Form Request for Accounting (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)

Home / Member Benefits & Resources

Benefits Applications

NOTICE: Members will need Adobe Acrobat Reader to make use of these .pdf format benefits applications. If you experience difficulties trying to print these documents, try saving them directly to your hard drive and open/print from there.

Application for: Optical Benefit, Sickness & Accident Benefit, Seafarers Pension, Death Benefit, Seafarers Alcohol & Drug Abuse Rehabilitation Benefit
Download Form - PDF (~67KB)

Seafarers Medical Benefit Application
Download Form - PDF (~29KB)

Attending Dentist's Statement
Download Form - PDF (~21KB)

Vacation Applications
Download Form - PDF (~27KB)

Vacation Applications (Inland)
Download Form - PDF (~10KB)

 
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