Pensioned Health and Welfare Forms

• Pensioned Operating Engineers Health and Welfare Fund Medicare Retiree Enrollment Form
  Enroll for benefits under the Pension plan for Medicare retirees.
• Pensioned Operating Engineers Health and Welfare Fund Non-Medicare Retiree Enrollment Form 
  Enroll for benefits under the Pension plan for non-Medicare retirees.
• Late Enrollment Application for Coverage Under the Pensioned Operating Engineers
  Complete to enroll in the Pension plan if you are a late enrollee.
• Health Net Medicare Programs Disenrollment Form 
  Disenroll members from the Health Net Medicare plan.
• Kaiser Permanente Senior Advantage Disenrollment Form 
  Disenroll family members from the Kaiser Senior Advantage plan.