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Veba for retirees of kaiser aluminum

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The document is a Qualified Benefit Reimbursement Request Form for the Kaiser Aluminum Salaried Retirees VEBA Plan for the 2014 plan year. It outlines the eligibility criteria and reimbursement process for health care premiums, including Medicare Part B and D premiums, with a maximum benefit of $2,800 per family unit. The form must be submitted by December 31, 2015, along with required proofs of coverage and payment.

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