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ALBERTA

IRONWORKERS HEALTH, PENSION AND TRAINING TRUST FUNDS

Consent to Release Version 1.0

Dental Claim Form Version 1.0

Drug Claim Form Version 1.0

Electronic Funds Transfer (EFT) Authorization for Claim Payments Version 1.0

Guide to Applying for Freezing of Hours Version 1.0

Guide to Applying for Weekly Disability Benefits Version 2020

Health Spending Account Claim Form Version 1.0

Pre-Determination - Hospital Bed Assessment Form Version 2017

Pre-Determination - Knee Brace Version 2017

Pre-Determination - Nursing Care Assessment Form Version 2017

Pre-Determination - Oxygen Concentrator Assessment Form Version 2017

Pre-Determination - Wheelchair Assessment Form Version 2017

Prescription Drug Special Authorization Request Form Version 1.0

Registration/Change Form Version 1.0

Consent to Release Version 1.0

Dental Claim Form Version 1.0

Drug Claim Form Version 1.0

Electronic Funds Transfer (EFT) Authorization for Claim Payments Version 1.0

Guide to Applying for Freezing of Hours Version 1.0

Guide to Applying for Weekly Disability Benefits Version 2020

Health Spending Account Claim Form Version 1.0

Pre-Determination - Hospital Bed Assessment Form Version 2017

Pre-Determination - Knee Brace Version 2017

Pre-Determination - Nursing Care Assessment Form Version 2017

Pre-Determination - Oxygen Concentrator Assessment Form Version 2017

Pre-Determination - Wheelchair Assessment Form Version 2017

Prescription Drug Special Authorization Request Form Version 1.0

Registration/Change Form Version 1.0

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    BENEFITS AT A GLANCE

    • BAAG Active Age 65 to 69 April 2022 Version 2021

    • BAAG Active Age 70+ April 2022 Version 2022

    • BAAG Active Up to Age 64 April 2022 Version 2022

    • BAAG Benefits Available While Collecting A Pension January 2022 Version 2022

    • BAAG Full Self-Pay Member or Trustee Up to Age 69 April 2022 Version 2022

    • BAAG Full Self-Pay Member or Trustee Age 70 to 74 April 2022 Version 2022

    • BAAG Grandfathered Trustees April 2022 Version 2022

    • BAAG Life and AD&D Self-Pay Member or Trustee Up to Age 74 January 2022 Version 2022

    • BAAG Pension Fund Pay Up to Age 64 April 2022 Version 2022

    • BAAG Pension Self-Pay Age 70 to 74 April 2022 Version 2022

    • BAAG Pension Self-Pay Age 75- 79 April 2022 Version 2022

    • BAAG Pension Self-Pay Up to Age 69 April 2022 Version 2022

    • BAAG Reduced Self-Pay Member or Trustee Age 70 to 74 April 2022 Version 2022

    • BAAG Reduced Self-Pay Members or Trustee Up to Age 69 April 2022 Version 2022

    • BAAG TEB Active Members January 2022 Version 2022

    • Collecting A Pension Early – January 2022

    © 2021 by Alberta Ironworkers Health, Pension and

    Training Trust Funds

    Request for Freezing of Hours Form Version 1.0