Forms and Documents
General
Spousal Affidavit 2026
To cover your spouse, you will need to submit a spousal affidavit, indicating whether your spouse has the option to enroll in other group medical coverage through a current employer.
Enrollment Form
To enroll for health and welfare benefits, complete the enrollment form and return it to the address on the form, along with the required documents for your dependents.
Emergency Room Alternatives
When you’re looking for care in a hurry, you want to receive it safely and quickly. If it’s not a life-threatening emergency and your doctor isn’t available, you have other options.
Personal Savings Program
Receive discounts on many lifestyle medications that are important to you.
Preventive Care Flyer
Teamsters Local 14 encourages members to get preventive care services, which are covered by both plans at 100%.
Summary Plan Description and Amendments
Summary Plan Description
This document describes the Medical PPO plan including prescription drugs, Dental PPO plan, and Vision PPO plan benefits.
Retirees
Retiree Plan Document
This document describes the Medical PPO plan including prescription drugs, Dental PPO plan, and Vision PPO plan benefits.
Retiree Overview Brochure
As a retired member of the Teamsters Security Fund for Southern Nevada – Local 14, you have access to retiree health care coverage until you become eligible for Medicare.
