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PENSIONED OPERATING ENGINEERS HEALTH AND WELFARE FUND 1600 Harbor Bay Parkway, Suite 200Alameda, California 945023035 18002515014 Fax 5108638373MEDICARE RETIREE ENROLLMENT FORM NEW MEMBERORCHANGE
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Contact your employer or human resources department to obtain the necessary forms for pensioned health and welfare.
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Fill out the forms with accurate and up-to-date information, including personal details, contact information, and any relevant medical history.
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Submit the completed forms to the appropriate office or department within the designated deadline.
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Who needs pensioned health and welfare?

01
Individuals who are retired and looking to receive pension benefits that include health and welfare coverage.
02
Employees who are eligible for pensioned health and welfare benefits from their employer.
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Pensioned health and welfare refers to the benefits provided to retired individuals, typically including healthcare coverage and other assistance.
Employers or organizations that provide pensioned health and welfare benefits to employees or retirees are required to file.
To fill out pensioned health and welfare, employers need to gather information on the benefits provided, the recipients of the benefits, and any changes in coverage.
The purpose of pensioned health and welfare is to ensure that retired individuals have access to healthcare and other essential services after they have stopped working.
Information reported on pensioned health and welfare includes details on the benefits provided, the cost of the benefits, and the individuals receiving the benefits.
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