Phone: 877-347-7225

Fax: 516-740-5410

Member Benefit Book and Forms

Benefit Book

Plan A Benefits

Plan D Benefits

Plan E Benefits

Life Plan Benefits

Health Insurance Claim Form

Cerpass Rx

Cerpass Rx Welldyne Flyer Spanish - 2025

CerpassRx POP Flyer PAP.CC_2024.BTWBF

CerpassRx Specialty Member Guide

CerpassRx Welcome 2 Pager_PortalApp

CerpassRx Welcome Packet_WellDyne

PA Pulse Member

Employer Forms

BT Enrollment Form Blank

BT Remittance Sheet

BT Term Notice

Instructions for enrollment cards

New Shop Letter

The Hartford

BTWBF - Hartford Policy Booklet -Plan D

BTWBF - Hartford Policy Booklet Plan A

Newsletter

Fall 2025 Newsletter

BIF Newsletter January 2025

Plan Adminstrator

HIPAA Privacy Statement 2026

New Important Numbers 2025

Announcements

Form 1095-B - Health Coverage Information

Find a COVID-19 Test Facility

Empire Blue Cross Plan Info

Call us today - 877-347-7225

Disclaimer: Please remember the information provided on this website is for informational purposes only and is not a substitute for the Funds’ Plan documents. If there are any differences between the information on this website and the Funds’ Plan documents or other rules and regulations governing the Plans, the Funds’ Plan documents and other rules and regulations will always govern.
Links to provider websites are included for your benefit; the providers are solely responsible for the content of their own websites.

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