A Member Information Update Form must be completed by the Participant each year in order for us to update addresses, note changes in dependent eligibility, as well as important dependent insurance information. In addition to the form, if we are the secondary insurance carrier on eligible dependent’s whose prior coverage has terminated; we will need the HIPAA Certificate (Certificate of Group Creditable Coverage) from the previous insurance carrier howing the termination date. Claims will be delayed, and prescriptions will not be authorized until we have the termination letter on file.

To make this process easier, the form is now available in Adobe PDF format and can be filled out on your computer.  After filling out the form, you must sign and date the form and return it to the Welfare office.  If you have access to a scanner or fax machine, you may scan and email your completed and signed form or fax it to 314-739-2374.

If you do not have Adobe Reader on your computer, you may easily download a free copy at www.adobe.com.

Click here for the Member Update Form.

There has been a lot of talk in the media about “going green.”  Everything from changing your household light bulbs to carpooling to work is greatly helping the environment. The District No. 9 Welfare and Pension Trusts are no exception.  We are going to start doing our part, but in order to accomplish this we need your help.

Every few years, the Welfare Trust sends a Summary Plan Description or SPD to all of its members.  This 160-page book details all aspects of your health plan from dental and vision benefits to surgery and routine doctor’s visits.  It has been the past practice of the Trust to mail a paper copy of this book to the members.  That equals over 640,000 sheets of paper or about 60 trees.

In this digital age, most members have computers and a high percentage of those also have some type of internet access.  Instead of mailing these books to all members, we would like to provide this book to you as a download from this website.  From here, you will be able to read the SPD in it’s entirety using Adobe Reader® and quickly search the book for terms that need clarification.  In addition to saving trees, this will reduce the administrative cost incurred by the Trusts.  These savings will go toward improved benefits for our members and, in the present economic times, any small savings will help greatly.

In order for us to provide this environment saving alternative to you, we are required by law to obtain your consent.  Please click on the link below and fill out the form.  Once completed, you can either mail the form to the Welfare office, fax the form to 314-739-2374, or scan and email the form to This e-mail address is being protected from spambots. You need JavaScript enabled to view it .  By submitting this form, you elect to download your SPD from our website instead of receiving a book in the mail.  In addition, by providing your email address, we will begin sending you our “For Your Benefit” newsletters via email.

If you elect to receive your SPD electronically but later change your mind, please contact the Welfare office at 314-739-6442 or 888-739-6442 and our staff will be happy to help you.

Electronic Consent Form