Detroit Laborers'

Health Care Button
Back Button

Participant Communications
Please Note:  In order to view and print the following forms, you must have the Adobe Acrobat Reader installed on your computer.  If you do not have the Adobe Acrobat Reader Software and wish to download it, you may do so by clicking on the image below.

 Get Acrobat Reader

  • Notice of Privacy Practices (June 2010)
  • Cofinity Detroit-Area Hospitals (January 2010)
  • Cofinity Michigan Facilities (September 2009)
  • Medicare Part D Prescription Drug Coverage (2006)
  • Privacy of Your Protected Health Information (PHI) (April 2003)
  • Notice of Health Plan's Privacy Policy (April 2003)
  • List of Disclosures for Which Your Authorization is NOT required (PHI) (April 2003)
  • Important Notice About Continuation Of Your Group Health Care Coverage

    • Summary of Material Modifications:
  • Cofinity Participation Memo (January 2010)
  • Summary of Material Modifications (December 2008)
  • Summary of Material Modifications (August 2008)
  • Summary of Material Modifications (October 2006 - Health Care for Surviving Spouses)
  • Summary of Material Modifications (October 2006 - Case Management and Utilization Review Services)
  • Summary of Material Modifications (September 2005)
  • Summary of Material Modifications (May 2005)
  • Summary of Material Modifications (December 2003)
    •

    Back Button


    6525 Centurion Drive, Lansing, MI 48917-9275
    Phone: 517.321.7502 • Toll-free: 800.228.0048 • Fax: 517.321.7508