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1199SEIU Benefit Funds 330 West 42nd Street, New York, NY 10036-6977 www.1199SEIUBenefits.org Tel (646) 473-9200 Outside NYC Area Codes: (800) 575-7771 Coordination of Benefits Form for Young Adult

How to fill out 1199seiubenefits form

How to fill out 1199seiubenefits:

1. Start by obtaining the 1199seiubenefits application form. You can typically find it on the official website of 1199SEIU Benefit Funds or by requesting a copy from your employer or union.
2. Carefully read the instructions on the form to understand the required information and any supporting documents that may be needed.
3. Provide your personal information, such as your full name, Social Security number, address, and contact details. Ensure accuracy and double-check for any errors.
4. Fill out the sections related to your employment information, including your employer's name, address, and phone number. Indicate your job title, work status, and the date you began working with the employer.
5. Depending on the specific benefits you are applying for, you may need to provide additional information about your dependents, such as their names, Social Security numbers, and relationship to you.
6. Determine the benefits you are eligible for and complete the corresponding sections accordingly. This may include healthcare, pension plans, employment training, childcare services, and more.
7. Attach any necessary supporting documents required by the application form, such as proof of employment, birth certificates for dependents, or marital status verification.
8. Review the completed form to ensure all information is accurate and nothing is missed. Sign and date the form where indicated.
9. Make copies of the filled-out form and supporting documents for your records.
10. Submit the completed application form to the designated address or office mentioned on the form or as instructed by your employer or union.

Who needs 1199seiubenefits:

1. Employees who are members of the 1199SEIU United Healthcare Workers East union.
2. Individuals working in eligible healthcare facilities, hospitals, nursing homes, and home care agencies that have a collective bargaining agreement with 1199SEIU.
3. Dependents of eligible union members, including spouses and children, who may be entitled to certain benefits provided by the 1199SEIU Benefit Funds.

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