IBEW Local 728 Fringe Benefit Funds

Welcome IBEW Local 728 Participants!

IBEW Local 728 Fringe Benefit Funds

Contact Info

Online: Contact Form

Email: ([email protected])

Phone: (800-842-5899)

Fax: (954-266-2079)

Actions

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Send a Secure File

External Links

IBEW LU 728
UHC Provider Lookup

Contact Us

Online: Contact Us
Email: [email protected]
Phone: 800-842-5899
Fax: 954-266-2079

Announcements

Go Green with 728!
Urgent Care vs Emergency Care

Health Care Benefits - Forms

PHI Authorization Form

Health Care Benefits - Notices

Annual Womens Health Act Notice
CHIP Notice as of 1.31.2019
Notice of Privacy Practices
UHC Provider Lookup

Health Care Benefits

Summary Plan Description (SPD) effective 1.1.2020
UHC - CWCE - Summary of Benefits and Coverage 1.1.2020-12.31.2020
UHC - Journeyman and NBU - Dental Benefit Summary 1.1.2020 -12.31.2020
UHC - Journeyman and NBU - Summary of Benefits and Coverage 1.1.2020 -12.31.2020

Retirement Benefits - Forms

Annuity Plan Application for Pre-Retirement Death Benefits
Annuity Plan Application for Retirement or Disability Benefits
Annuity Plan Application for Termination Benefits
Annuity Plan Required Minimum Distribution Form
Pension Plan Application for Pre-Retirement Death Benefits
Pension Plan Application for Retirement or Disability Benefits

Retirement Benefits - Notices

Announcement of Incoming Reciprocal Contribution Allocation 1.1.2019

Retirement Benefits

Annuity Summary Plan Description (SPD) with SMMs
Pension Summary Plan Description (SPD) with SMMs