International Brotherhood of Electrical Workers
Local #64 Youngstown Area Electrical Welfare Fund
< Return to Main Electricians Page

• Your Personal Information

• Summary Plan Description
  • Booklet
  • Changes to Booklet
  • Annual Notices
  • Privacy Policy

• Forms: (All forms must be returned via mail)
  • Beneficiary Election Form/Change of Address Form
  • Disability Claim Form
  • HIPAA Portability Rights
  • Cobra Application
  • Election of Coverage of Early Retirement or Permanent Disability
  • Hour Bank Donation Form

• Related Links:
  • www.supermednetwork.com
  • www.express-scripts.com

All Forms are in PDF Format. Download the FREE Adobe Acrobat Reader Here.