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WELFARE DEPARTMENT

(Medical)

Welfare benefits are collected through the stamp program where an hourly benefit is paid by the employer for each hour worked.  This is credited to your account when your stamp book is turned in. Stamp Books are redeemed to our office in January and July.

 It is extremely critical that you turn in your stamp book as soon after the January and July due dates as possible in order to post your benefits to your account in a timely manner.  The due dates are printed on the front cover of your stamp book.

 Listed below are our various welfare benefits:

  • Active/Retiree Medical & Dental Eligibility Enrollments, Terminations and Reinstatements
  • Dependent Eligibility
  • Hospital Benefits 
  • Medical Benefits
  • Prescription Drug Coverage
  • Dental Coverage
  • Vision Coverage
  • Hearing Aid Reimbursements
  • COBRA
  • Death Benefits
  • Life Insurance
  • Disability Benefits
  • Emblem Health (Retirees)
  • Medicare Supplemental Plan
  • Subrogation
  • Unemployment Benefits
  • Change of Address

Click on the links below for the forms indicated.
 

Supplemental Medicare Reimbursement Claim Form

DAVISVISION Direct Reimbursement Claim Form  (out of network)

InformedRx Member Reimbursement Claim Form

(Call the Fund Office for informedRx mail order forms)

Dental Claim Form  

Change_of_Address_Form

Appliction_for_Supplemental_Unemployment_Benefits

Authorization to use Unemployment for Welfare Benefits

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Please contact the Fund Office at (631) 454-2330 for more information or any questions you may have concerning the above.