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AUTHORIZATION REVOCATION USE THIS FORM TO REVOKE AN AUTHORIZATION PREVIOUSLY GIVEN. Section A: Individual revoking authorization Please complete the following information: NAME DAYTIME PHONE NUMBER
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Employees who are members of the United Auto Workers (UAW) and are eligible for healthcare benefits.
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What is bcbsm com uawtrust?
The UAW Trust is a voluntary employee beneficiary association (VEBA) established to provide health care benefits to retired UAW members and their dependents.
Who is required to file bcbsm com uawtrust?
Employers who have collective bargaining agreements with the UAW and provide health care benefits to their employees are required to file the UAW Trust.
How to fill out bcbsm com uawtrust?
Employers must complete and submit the required forms provided by Blue Cross Blue Shield of Michigan (BCBSM) to enroll in the UAW Trust and provide health care benefits.
What is the purpose of bcbsm com uawtrust?
The purpose of the UAW Trust is to ensure that retired UAW members and their dependents have access to affordable health care benefits.
What information must be reported on bcbsm com uawtrust?
Employers must report information such as the number of employees covered, the type of health care benefits provided, and the amount of contributions made to the UAW Trust.
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