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Michigan Conference of Teamsters Welfare Fund 2700 Trumbull Ave. Detroit, MI 48216 313-964-2400 MC TWF Retiree Medical Program Application Form Participant s Section Participant s Name (Last First
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The mctwf retiree medical program is a health insurance program designed for retirees of the company.
All eligible retirees are required to file the mctwf retiree medical program.
To fill out the mctwf retiree medical program, retirees need to provide their personal and medical information as requested on the form.
The purpose of mctwf retiree medical program is to provide health insurance coverage for retirees after they leave the company.
The mctwf retiree medical program requires retirees to report their personal information, medical history, and any dependents they wish to include in the coverage.
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