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ROOFERS\' LOCAL 195
HEALTH AND ACCIDENT FUND
www.Local195Funds.org
7706 Millage Drive Liverpool, NY 13090Tel: (315) 6991388Fax: (315) 6991390Employer Identification Number
166148181
Plan Number
501Summary
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How to fill out roofers local 195 health

How to fill out roofers local 195 health
01
Obtain the roofers local 195 health form from the local union office.
02
Read and understand the instructions provided with the form.
03
Fill in your personal information accurately, including your full name, address, and contact details.
04
Provide your membership details, such as your union membership number and local number.
05
Answer any health-related questions on the form truthfully and thoroughly, ensuring you provide all relevant information.
06
If required, attach any supporting documents or medical records that may be necessary for your health assessment.
07
Double-check the completed form for any errors or missing information.
08
Submit the filled-out form to the designated person or department at the roofers local 195 union office.
09
Keep a copy of the filled-out form for your own records.
10
Follow any additional instructions provided by the local union office regarding the submission or processing of the health form.
Who needs roofers local 195 health?
01
Roofers who are members of the roofers local 195 union need to fill out the roofers local 195 health form. This form is required for health assessment and to ensure that the members meet the health standards set by the union. It helps in monitoring the health and well-being of the roofers and may be necessary for their continued membership and participation in union activities.
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What is roofers local 195 health?
Roofers Local 195 health refers to the health benefits provided to members of Roofers Local 195 union.
Who is required to file roofers local 195 health?
Employers who have collective bargaining agreements with Roofers Local 195 are required to file for the health benefits.
How to fill out roofers local 195 health?
To fill out the roofers local 195 health, employers need to provide detailed information about the health benefits provided to their employees.
What is the purpose of roofers local 195 health?
The purpose of roofers local 195 health is to ensure that union members have access to quality health benefits.
What information must be reported on roofers local 195 health?
Employers must report information such as the type of health benefits offered, coverage details, and any changes in benefits.
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