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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 Change of Address Form Print Clearly in Blue
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Provide your complete residential address, including street, apartment number (if applicable), city, state, and zip code.
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Note: The term "1199 address" in this context is not a commonly used term, so the specific reasons for needing it may vary depending on the situation.
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Do you have an 1199SEIU Member ID? Your Member ID is a ten-digit number beginning with "9" that appears on your Health Benefits ID card.
1199SEIU is the largest, fastest-growing and most effective healthcare union in the United States. We represent over 450,000 members throughout New York State, Massachusetts, New Jersey, Washington, DC, and Maryland.
1199SEIU Syracuse Office Phone Number:(315) 424-1743Address:250 S. Clinton Street, Suite 200, Syracuse, NY 13203Area:1199SEIU OfficesDivision:1199 SEIU
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.
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.
SPECIAL NOTICE TO JOINT ACCOUNT HOLDERS Joint account holders should immediately advise both the Government agency and the financial institution of the death of a beneficiary. Funds deposited after the date of death or ineligibility, except for salary payments, are to be returned to the Government agency.
Use the SSA-1199 sign-up form to enroll in International Direct Deposit (IDD).
The Social Security Direct Deposit Form, sometimes referred to as “Form 1199A,” is a method to deliver the information required by the Social Security Administration for beneficiaries wishing to receive their payments as electronic transfers.
The information will be used to process payment data from the Federal agency to the financial institution and/or its agent. Failure to provide the requested information may affect the processing of this form and may delay or prevent the receipt of payments through the Direct Deposit/Electronic Funds Transfer Program.

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The 1199 Change of Address form is used by healthcare providers and organizations to update their address information with government agencies and insurance companies.
Healthcare providers and organizations that need to update their address information for billing purposes or compliance with regulatory requirements are required to file the 1199 Change of Address.
To fill out the 1199 Change of Address form, provide your current address, new address, relevant identification numbers, and any supporting documentation as required. Ensure that all fields are accurately completed to avoid processing delays.
The purpose of the 1199 Change of Address form is to ensure that healthcare providers' and organizations' billing and contact information is up to date, facilitating proper communication and timely payments.
The information that must be reported on the 1199 Change of Address form includes the provider's current address, new address, relevant identification numbers (such as NPI or Tax ID), and any previous address if applicable.
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