Health & Welfare | Sprinkler Fitters Local 281

In This Section

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
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

	Empower Health Biometric Screenings Thu, Feb 16, 2023

	Empower Health Biometric Screenings Mon, Oct 31, 2022

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