(888) 245-5005 Call Us
(707) 864-3300 Call Us
NCCMmisc@HSBA.com Email Us
Create New Account Create New User Account
Member Login Member Login
Employer Login Employer Login
Trustee Login Trustee Login

Health & Welfare → Resources → Plan Documents & Forms

PLAN DOCUMENTS & FORMS

 

Notices→

Forms→

Reports→

Some PDF forms on this site are fillable online. You can type information directly onto the PDF.

By default, Firefox does not currently support forms in fillable format. To use this feature, view the site in Chrome or Microsoft Edge.

Website Disclaimer

This website provides a summary of the benefits available through the Fund and does not contain all information that may apply to your individual situation. Where this page deviates from the information provided in the official Plan Documents(s), the official Plan Document(s) terms shall prevail.

Trust Fund Office

Health Services & Benefit Administrators
4160 Dublin Boulevard, Suite 100
Dublin, CA 94568-7756

Phone   (888) 245-5005

Email
For Pension -
For Enrollments -
For all other questions -

Office Hours
Monday - Friday
8:30 a.m. to 5:00 p.m. (PST)
Copyright © 2025 HSBA