FORMS:
| FORM NAMES AND DESCRIPTIONS | CLICK LINK TO READ OR PRINT FORM |
| Enrollment Form/Coordination of Benefits Form: Use this form to make any changes to your current membership data. | COB Enrollment Form(english) COB Enrollment Form(spanish) |
| Laborers' Printable ID Card: This can be used as a temporary ID card for services from your Medical Providers. | Coming Soon |
| Authorized Rep Form:Complete this form to give another person permision to speak to fund on your behalf about claims or enrollment questions. | Authorized Rep Form |
| Short Term Disability Form:Complete this form and mail to Zenith Administrators attn Kathy Brennan 5565 Sterret Place Suite 210 Columbia, MD 21044. | Short Term Disability |
| Home Page | Participant Communications |
| Forms | Trustee Roster |
| Medical Information | Summary Plan Descriptions |
| Eligibility/Benefit Information | Prescription Information |
| Dental Information | Vision Information |
5565 Sterrett Place Suite 210, Columbia, MD 21044
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