Use this section to locate the required forms and resources associated with the Health & Welfare Fund. For best results first download the form to your PC and then open the form on your PC.
Forms
Additional Information Questionnaire / Cuestionario de Informacion Adicional
Application for Retirees Death Benefits
Change of Address – Cambio de Direccion
Authorization to Deduct COBRA or Self-Pay Premium
Retiree Self-Pay Election Form Plan A
Retiree Self-Pay Election Form Plan B
Other Documents
Laborers’ Recovery Program_English
Laborers’ Recovery Program_Spanish
Laborers’ Recovery Program_Brazilian Portuguese
Laborers’ Recovery Program_Continental Portuguese
Mass Laborers 2017 SBC Plan A Spanish
Mass Laborers SBC 2017 Plan B Spanish
Mass Laborers Plan B SBC – 2016
Mass Laborers Plan A SBC – 2015
MA Laborers Health Fund – SBC – Plan A SPN
Mass Laborers Plan B SBC – 2015
MA Laborers Health Fund – SBC – Plan B SPN