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Local 812 Health Fund Vision Care Service Record (This form to be maintained by the providers' office) SECTION I PROVIDER/PATIENT SECTION Member Name: SECTION II COVERAGE SECTION Member ID No.: Patient
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How to fill out local 812 health fund?

01
Start by gathering all the necessary documents and information. You will need your personal details, such as your full name, address, and contact information. You may also need your social security number or employee identification number, so keep that handy as well.
02
Contact the local 812 health fund office or visit their website to obtain the necessary forms. These forms may include an enrollment form, a beneficiary designation form, and any additional documentation required for eligibility verification.
03
Carefully read through the instructions provided with the forms. Make sure you understand all the requirements and any deadlines for submitting the paperwork.
04
Fill out the enrollment form accurately and completely. Double-check all the information you provide to ensure its accuracy. This form typically asks for personal details, employment information, and any dependent information if applicable.
05
If required, fill out the beneficiary designation form. This form allows you to designate someone who will receive the health fund benefits in the event of your death. Provide the full name, relationship, and contact details of the designated beneficiary.
06
Collect any supporting documentation that may be required. This can include proof of employment, proof of dependent status, or any other documentation specific to your situation. Make sure to provide copies rather than original documents as they may not be returned.
07
Review all the filled-out forms and make any necessary corrections or amendments. It's essential to ensure the accuracy of the provided information to avoid any potential discrepancies or delays.
08
Submit the completed forms and supporting documentation to the local 812 health fund office. Check if there is a specific submission method required, such as mailing, faxing, or electronic submission. Be sure to meet any stated deadlines to avoid missing out on enrollment or benefits.

Who needs local 812 health fund?

01
Union workers: The local 812 health fund is typically designed for employees who are part of a specific union, such as the Local 812 Union. These individuals need the health fund to access various healthcare benefits, including medical, dental, and vision coverage.
02
Dependents of union workers: If you are a dependent of a union worker and are eligible under the health fund guidelines, you may also need to apply for coverage. This includes spouses, children, or other dependents who rely on the health fund benefits for their healthcare needs.
03
Retirees: Retired union workers who are eligible for continued health coverage through the local 812 health fund will also need to apply and fill out the necessary forms. This ensures they can access healthcare benefits even after retirement.
04
Individuals eligible for COBRA: If you have recently lost your job or experienced a reduction in hours and are eligible for COBRA coverage, the local 812 health fund may be an option for healthcare benefits during this transitional period.
Remember, it is crucial to consult the specific guidelines and eligibility requirements of the local 812 health fund to determine if you qualify and need to fill out the necessary forms.
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Local 812 health fund is a health and welfare fund established for the benefit of union members in the Local 812 union.
Employers who have unionized employees covered under the Local 812 union contract are required to file and contribute to the local 812 health fund.
Employers must accurately report the hours worked by each unionized employee and make the required contributions to the fund based on these hours.
The purpose of the local 812 health fund is to provide health and welfare benefits to union members covered under the Local 812 union contract.
Employers must report the hours worked by each unionized employee, as well as any required contributions made to the fund.
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