Atlanta Plumbers and Steamfitters Fringe Benefit Funds
Welcome Participants of Atlanta Plumbers and Steamfitters Local 72 Fringe Benefit Funds!
Self-Pay Dependent Coverage Contribution
Welcome to Online Payment Services. You are entitled to continue coverage for your dependent(s) by making a timely self-contribution using the form below. Please note that contributions must be made based upon the coverage type you elected during the most recent enrollment period. In order for your payment to be processed as quickly as possible, please complete the below information in its entirety. For questions or assistance please contact the Enrollment Department via email at
or toll free at (888) 365-0072. Please note our office hours are from 8:00 AM to 5:00 PM EST Monday through Friday.
Member First Name
Member Last Name
Member UA ID
Please tell us the coverage period you are buying coverage for
Please select the coverage type you are paying for
Spouse and Children - $30 Per Week
Spouse Only $25 Per Week
Children Only $5 Per Week
The amount due is equal to the weekly coverage amount for the coverage type selected (spouse and/or children) x 4 weeks (or 5 weeks for March, June, October or December).
Please note that a 3% fee will be assessed for all credit card payments to offset the cost to the Fund for providing an online payment option.
Payment Amount $
3% Service Fee:
Total Amount Due:
Card Holder Information
Select A State