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FCW NATIONAL HEALTH AND WELFARE FUND 66 GRAND AVENUE, ENGLEWOOD, NEW JERSEY 07631 (201) 5698801 FAX (201) 5691085 www.ufcwnationalfund.orgVISION SERVICES CLAIM FORM MEMBER PLEASE PRINT 15 BELOW 1.
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How to fill out ufcw national health and

01
Obtain the UFCW National Health Fund enrollment form either online or from your employer.
02
Fill out the form completely with accurate and up-to-date information.
03
Provide any required documentation such as proof of eligibility or dependents.
04
Submit the completed form and documentation to the designated department or mailing address.
05
Wait for confirmation of enrollment and any further instructions or materials.

Who needs ufcw national health and?

01
Employees who are part of the United Food and Commercial Workers (UFCW) union and are eligible for benefits through the National Health Fund.
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UFCW National Health and Welfare Fund provides health benefits to eligible members and their families.
Employers who have an agreement with UFCW National Health and Welfare Fund to provide health benefits to their employees are required to file.
Employers can fill out the form by providing accurate information about their employees and their dependents who are eligible for health benefits.
The purpose is to ensure that eligible members and their families receive the health benefits they are entitled to.
Information such as employee details, dependent information, and coverage details must be reported on the form.
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