Committed to exemplary service, the Industry Health Trusts offered by Associated Industries provide Oregon employers comprehensive, reliable employee benefits. In the ever-changing business environment, our team and services provide stability to a company’s health benefits and connects you to a wide spectrum of tools and resources you can utilize to keep organizations adaptable and growing.


FORMS LIBRARY

This section will allow you to access forms including Enrollment Forms, Claim Forms, Administrative Forms, and other forms.
Please choose a year or industry below to find information for various Trust Forms.

If you have any questions, please contact the Trust Program Manager,

Nathan Edmondson at 206-602-3558 or
Nathan.Edmondson@advprofessionals.com.
Tara Reynolds at 253-541-6538  or Tara.Reynolds@advprofessionals.com


Enrollment Forms & Additional Forms

2025 Plan Year: January 1, 2025 - December 31, 2025

2025 Trust Industries - GMA Applications  
FOR DATA COLLECTION ONLY GMA
  Oregon Commercial Construction Health Trust Download
  Oregon Business Services Health Trust Download
  Oregon Manufacturing Health Trust Download
  Oregon Health Industry Health Trust Download
  Oregon Retail Health Trust Download

 


2025 Trust Industries - Enrollment Forms  
Industry Enrollment Forms
  Oregon Commercial Construction Health Trust Download
  Oregon Business Services Health Trust Download
  Oregon Manufacturing Health Trust Download
  Oregon Health Industry Health Trust Download
  Oregon Retail Health Trust Download



Additional Forms  
  Associated Industries - Membership Application for Oregon Download
  Moda Health: Late Submission Form
  - to be used after the 10th of the month prior to the effective date.
Download
  Life/AD&D and EAP Form Download
  ACH Authorization Form Download
  COBRA Voluntary Waiver Form Download


 

 

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