IBEW Local 613 Fringe Benefit Funds
Contact Info
Online:
Contact Form
Email:
(
[email protected]
)
Phone:
(800.922.1613)
Fax:
(678.705.0205)
Actions
IBEW 613 Enrollment Page
Send a Secure File
Access My Benefits
External Links
Cigna Provider Lookup
Kaiser Network Lookup
Local 613
ERTS
Grand Rounds
Vanguard
NEBF
Contact Us
Online:
Contact Us
Email:
[email protected]
Phone:
800.922.1613
Fax: 678.705.0205
Announcements
Go Green with 613!
LU613 COVID-19 Benefit Plan Notice
Terms and Conditions for Go Green
Health Care Benefits - Forms
HW 2020 Covid-19 Continuation of Disability Form
HW 2020 Covid-19 Initial Disability Form
HW Disability Claim Form
HW Enrollment Application with Kaiser Option
HW Enrollment Application without Kaiser Option
HW Life Insurance Beneficiary Designation
HW PHI Authorization Form
HW Spousal Affidavit
Health Care Benefits
Comparison of Family Health Care Options
Family Health SPD
Open Enrollment Notice
SBC CIGNA OAP 2019
SBC CIGNA OAP 2020
SBC Kaiser HMO 2019
SBC Kaiser HMO 2020
Retiree Health Care Benefits
2017 LU613 RHP SPD
Retirement Benefits - Forms
92118_TerminationT18120
DC (QDRO) Alternate Payee Distribution Application
DC (QDRO)Alternate Payee Form
DC Vanguard Beneficiary-Surviving Spouse Benefit Distribution Form
DC Vanguard Beneficiary Designation
DC Vanguard Retirement Application-Distribution Form
DC Vanguard Retirement Application
Retirement Benefits
2016 LU613 DCP SPD
DC QDRO Procedures
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