September 04, 2010

Action Center

Health Fund Resources

Blue Cross Blue Shield Summary Plan Description 2007
New Health Insurance Summary Plan Description & Explanation of Benefits
NECA/IBEW Family Medical Plan Enrollment Documents
Instructions and Enrollment Forms for Local 1340's New Health Insurance Plan
Family Enrollment Beneficiary Form
New Health Fund Enrollment Form. Form also used if dependent status changes or beneficiary status changes
Dental Claim Form
Metlife Dental Claim Form to be completed by you and your dentist upon service.
Loss of Time Benefit Statement of Claim
Blue Cross Blue Shield Disability Claim Form
Routine Vision Service Report Form
Vision Claim Form

The NECA/IBEW Family Medical Care Plan Fund Office/Board of Trustees handles eligibility, disability and AD&D insurance claims the toll free number is 1-877-937-9602 or 1-706-937-9601, the Fax Number is 1-706-937-9601. Contact the fund office if you or a dependent moves, if your family/dependent status changes, if anyon in your family acquires other coverage, or if you retire or enter active military service.

Send all necessary self payments to: NECA/IBEW Family Medical Care Plan, 35 Harley Lane. Ringgold, GA 30736