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The Massachusetts Laborers’ Health & Welfare Fund has launched an audit to ensure that all beneficiaries’ dependents are properly documented in our system. The deadline to respond to this audit is January 18, 2021.

You should have received communication from Part D Advisors requesting documentation for your enrolled dependents. You must respond and provide the necessary documents to this request to maintain your dependent’s health benefits.

The form asks you to:

  • Review your personal information for accuracy. If you find errors, please provide the correct information and provide supporting documentation.
  • Confirm that each dependent listed is an eligible member and send in supporting documentation. The letter will provide eligibility requirements. If the dependent does not meet the requirements, please check the “Remove from Coverage” box located on the form.
  • Sign and return the verification form with supporting documents to: PDA – Verification Team, 17199 N. Laurel Park Drive, Suite 400 Livonia, MI 48152.

The form also asks you to supply a tax return. Although a tax return is required to document your current spouse, only page 1 of the return needs to be submitted. Please also black out all financial information and social security numbers.