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Five River Carpenters Health & Welfare Fund HRA Account Reimbursement Formulas USE ONE CLAIM FORM PER PERSON(See instructions on reverse side)1st submissionAdjustment AppealMEMBER INFORMATION MUST
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Five River Carpenters Health is a health insurance program specifically created for carpenters.
All carpenters who are part of the Five River Carpenters Union are required to file for the health program.
To fill out the Five River Carpenters Health form, carpenters need to provide their personal information, work history, and any dependents they want to include in the coverage.
The purpose of the Five River Carpenters Health program is to provide affordable health insurance options for carpenters and their families.
Information such as personal details, work history, and dependent information must be reported on the Five River Carpenters Health form.
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