Sprinkler Fitters Local 281 Sprinkler Fitters Local 281
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Health & Welfare

  1. Home
  2. About Us
  3. Health & Welfare
In This Section
  • Health & Welfare
  • H&W News
  • Plan Features and Documents
  • Fund Forms
  • Useful Links

Health & Welfare Fund Forms

Welcome to the Sprinklerfitters Local Union No. 281 Welfare Fund Forms page. Click on the links below in order to download printable versions of each specific form.

  • Appeals Procedure
  • Beneficiary Card
  • Beneficiary Forms
  • Blue Cross International Claim Form
  • Blue Cross Blue Shield Global Core
  • Census Form
  • Dependent Child Enrollment
  • HIPAA Authorization Form
  • HIPAA Family Authorization Form
  • Humana Enrollment Form
  • MaxorPlus Reimbursement Form
  • Retiree Coverage Election Form
  • Workers’ Compensation Agreement
  • Workers’ Compensation Benefits

 

Benefits News

New Health and Welfare App
Mon, Jun 29, 2026


New Services from Included Health
Mon, Jun 1, 2026


No Suprises Act
Wed, May 27, 2026


Member Cost Estimate Information
Fri, May 1, 2026


Blue Cross Blue Shield Settlement
Thu, Feb 27, 2025


Empower Health Biometric Screenings
Tue, Jan 28, 2025


Included Health
Tue, May 21, 2024


Virtual Physical Therapy
Tue, Jan 2, 2024


Quit Smoking Now!
Wed, Dec 27, 2023


New Mobile App for the Welfare Fund
Thu, Jul 14, 2022



ADDRESS

  • 11900 South Laramie Ave
    Alsip, IL 60803
  • Phone: (+1) (708) 597-1800
  • Fax: (+1) (708)597-1894
  • Email: Click Here

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