Seafarers Harry Lundeberg School of Seamanship:
- Download an Upgrading Application (PDF)
Seafarers Pension Plan:
- Seafarers Pension Plan Application (PDF)
(In the “print” dialogue box, in the upper right corner under “Properties,” please select Legal for page size so the document prints properly.) - Seafarers Death Benefit Application (Retirees) (PDF)
- SHBP / SPP / SMPPP Letter and Form re Electronic Consent for Delivery of Plan Documents (PDF)
- SPP Beneficiary Form (PDF)
Seafarers Health and Benefits Plan:
- SHBP Enrollment Form (PDF)
- Seafarers Health & Benefits Plan Sickness & Accident Application (PDF)
- OptumRx Direct Member Reimbursement Form (PDF)
- Seafarers Death Benefit Application (Actives) (PDF)
- SHBP Nicotine Replacement Therapy Reimbursement Form for Puerto Rico / Humana participants only (PDF)
- SHBP / SPP / SMPPP Letter and Form re Electronic Consent for Delivery of Plan Documents (PDF)
- SHBP / SMPPP / SVP Beneficiary Form (PDF)
Seafarers Vacation Plan:
- Vacation Application (PDF)
- Vacation Application (Inland) (PDF)
- SVP / SMPPP Deduction Authorization Form (allows SVP to deduct participant’s SMPPP voluntary contribution from Vacation Benefit) (PDF)
- SHBP / SMPPP / SVP Beneficiary Form (PDF)
Seafarers Money Purchase Pension Plan (SMPPP):
- SMPPP Application for Pension Benefit (Form HBP 026; 01/17) (PDF)
- SMPPP Qualified Joint & Survivor Annuity Inquiry Form (Form HBP 057 02/17) (PDF)
- SMPPP Qualified Joint & Survivor Annuity Notice 01/17) (PDF)
- SMPPP Application for Death Benefit (Form HBP 028; 01/17) (PDF)
- SMPPP Special Tax Notice – Employer Contribution Account (08/2018) (PDF)
- SMPPP Special Tax Notice – Voluntary Contribution Account (08/2018) (PDF)
- SMPPP Death Benefit Tax Explanation Notice (PDF)
- SHBP / SPP / SMPPP Letter and Form re Electronic Consent for Delivery of Plan Documents (PDF)
- SVP / SMPPP Deduction Authorization Form (allows SVP to deduct participant’s SMPPP voluntary contribution from Vacation Benefit) (PDF)
- SHBP / SMPPP / SVP Beneficiary Form (PDF)
