How To Enroll

Initial Enrollment

To enroll for health & welfare benefits, complete the Enrollment Form and return it to the address on the form, along with the required documents for your dependents.

Making Changes

You can add or disenroll dependents at any time, and you can change your benefit elections once every 12 months.

To make changes, complete and return the Enrollment Form. Be sure to complete all sections of the form and return it to the address on the form, along with the required documents for your dependents.

Required Documents for Dependent Coverage

To enroll dependents, send copies of the following documents along with your completed Enrollment Form:

  • Spouse: Certified Marriage Certificate
  • Children/stepchildren: Certified Birth Certificate or court-appointed guardianship certificate; divorce decree for stepchildren, if applicable

If your dependents lose eligibility for coverage due to divorce, legal separation or death, you must notify the Fund by sending a copy of one of the following documents along with an updated Enrollment Form:

  • Divorce decree
  • Legal separation papers, or
  • Death certificate.

Note that you must list the Social Security number for all dependents on the Enrollment Form.