Northern California Pipe Trades Trust Funds
for UA Local 342

935 Detroit Avenue, Suite 242A Concord, CA 94518-2501
Phone: 925/356-8921 | Fax: 925/356-8938 | E-Mail:

RETIREE Enrollment / Change Forms

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For Kaiser Permanente and Blue Shield of California HMO Plans, there are limited coverage service areas within Northern California.

The Blue Shield of California HMO Plan is not available if a Participant and/or any Dependents are eligible for Medicare.

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Blue Shield of California PPO and HMO Retiree Enrollment / Change Form
Kaiser Permanente HMO Retiree Enrollment / Change Form

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