1199SEIU Benefit Funds AFELI01 2020-2025 free printable template

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 Coverage Instructions Complete a separate Coordination of Benefits Form for Young Adult Coverage for each dependent child from age 19 up to age 26 for whom you are requesting Benefit Fund coverage. Spousal Health Plan Does your young adult dependent receive health insurance through his/her spouse s...

How to fill out coordination of benefits form

How to fill out 1199SEIU Benefit Funds AFELI01

1. Gather necessary personal information including your name, address, and Social Security number.
2. Obtain details about your employment, such as the name of your employer and your job title.
3. Fill out the personal information section at the top of the form.
4. Provide information about your health coverage and any other relevant benefits.
5. Complete the sections regarding your dependents, if applicable.
6. Review the form to ensure all information is accurate and complete.
7. Sign and date the form in the designated areas.
8. Submit the completed form to the appropriate office as instructed.

Who needs 1199SEIU Benefit Funds AFELI01?

1. Individuals who are members of the 1199SEIU union.
2. Employees who are eligible for benefits provided by the 1199SEIU Benefit Funds.
3. Workers seeking financial assistance or healthcare benefits through the union.

People Also Ask about

What does benefit fund mean?

(1) In general The term “welfare benefit fund” means any fund— (A) which is part of a plan of an employer, and (B) through which the employer provides welfare benefits to employees or their beneficiaries.

What is an 1199?

1199: The National Health Care Workers' Union was an American labor founded as the Drug, Hospital, and Health Care Employees Union-District 1199 by Leon J. Davis for pharmacists in New York City in 1932.

What is defined benefit vs defined contribution?

The benefits in most traditional defined benefit plans are protected, within certain limitations, by federal insurance provided through the Pension Benefit Guaranty Corporation (PBGC). A defined contribution plan, on the other hand, does not promise a specific amount of benefits at retirement.

What is defined benefit pension fund?

A defined benefit (DB) pension scheme is one where the amount you're paid is based on how many years you've been a member of the employer's scheme and the salary you've earned when you leave or retire. They pay out a secure income for life which increases each year in line with inflation.

What is benefit of 1199?

Health Benefits More than 200,000 members of 1199SEIU have won comprehensive healthcare coverage — hospitalization, doctors' visits, dental and vision care, prescription drugs, etc. — with no or minimal out-of-pocket expenses for themselves and their families. In all, the benefit covers more than 450,000 lives.

What is a benefit fund?

A benefit fund (sometimes called a 'flex pot') A benefit fund is a sum of money which you give to each member of staff specifically to pay for employee benefits. They can spend it however they like on a range of products, selected from a list determined by you.

What is meant by welfare fund?

noun. : a fund usually established by an employer from which benefits are paid to employees in time of sickness or other specified occasion and commonly set up in response to union pressure and as a contractual obligation.

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What is 1199SEIU Benefit Funds AFELI01?

The 1199SEIU Benefit Funds AFELI01 is a form used by the 1199SEIU United Healthcare Workers East to document and report benefits provided to eligible members.

Who is required to file 1199SEIU Benefit Funds AFELI01?

Employers and benefit funds that provide health and welfare benefits to 1199SEIU members are required to file the 1199SEIU Benefit Funds AFELI01.

How to fill out 1199SEIU Benefit Funds AFELI01?

To fill out the 1199SEIU Benefit Funds AFELI01, one must provide the required identification details, accurately report the benefits offered, and ensure all sections are completed thoroughly following the provided instructions.

What is the purpose of 1199SEIU Benefit Funds AFELI01?

The purpose of the 1199SEIU Benefit Funds AFELI01 is to collect data on the health and welfare benefits provided to members, which helps in the administration and allocation of benefits.

What information must be reported on 1199SEIU Benefit Funds AFELI01?

The information that must be reported on 1199SEIU Benefit Funds AFELI01 includes the names of employees, the types of benefits provided, the period of coverage, and any relevant employer or fund identification numbers.