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Page 1 of 2Plan Administration Office AddressPRESCRIPTION DRUG SPECIAL AUTHORIZATION FORM45 McIntosh Drive Markham, ON L3R 8C7 Phone: 18006687547 Fax: 19059462535 Email: medical@boilermakersbenefits.caBOILERMAKERS
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How to fill out boilermakers national health plan

01
To fill out the Boilermakers National Health Plan, follow these steps:
02
Gather all necessary information, such as your personal details, employment information, and dependent information.
03
Obtain the Boilermakers National Health Plan application form. This can typically be found on their official website or obtained through your employer.
04
Start filling out the form by providing your personal details, such as your full name, date of birth, and contact information.
05
Provide your employment information, including your employer's name, your job title, and the dates of employment.
06
If you have dependents, indicate their names, dates of birth, and relationship to you.
07
Review all the information you have provided to ensure accuracy and completeness.
08
Sign and date the form.
09
Submit the filled-out form to the appropriate recipient, such as the Boilermakers National Health Plan office or your employer's HR department.
10
Wait for further instructions or notification regarding your enrollment status.
11
Keep a copy of the filled-out form for your records.

Who needs boilermakers national health plan?

01
The Boilermakers National Health Plan is designed for individuals who are part of the Boilermakers Union or work in related industries.
02
Those who work as boilermakers, including construction, maintenance, and repair of boilers, along with related occupations such as pipefitters and welders, may be eligible for this health plan.
03
Additionally, dependents of eligible participants, such as spouses and children, may also be covered under the Boilermakers National Health Plan.
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The Boilermakers National Health Plan is a health insurance program designed to provide health care benefits to qualified members and their families in the Boilermakers union.
Employers that are signatory to the Boilermakers union are required to file the Boilermakers National Health Plan on behalf of eligible employees.
To fill out the Boilermakers National Health Plan, members or employers must complete the specific enrollment forms provided by the plan, ensuring all required information is accurate and submitted by the deadline.
The purpose of the Boilermakers National Health Plan is to provide comprehensive health care coverage and financial protection to union members and their families, focusing on promoting health and well-being.
Required information includes member identification details, coverage selections, dependent information, and any relevant employment details such as hours worked and contributions.
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